Gamma E Tocopherol With Sesame Lignans Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Gamma E Tocopherol With Sesame Lignans 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
Gamma E Tocopherol With Sesame Lignans is a dietary supplement by Life Extension with 3 active ingredients. Its ingredients are commonly taken for general antioxidant support, skin and hair care, heart health.Based on those ingredients, 1,073 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Vitamin E, Sesame seed (Sesamum indicum) lignan extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Gamma E Tocopherol With Sesame Lignans by Life Extension
Ask about any prescription or over-the-counter medication and we check it for interactions with Gamma E Tocopherol With Sesame Lignans by Life Extension — 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 Gamma E Tocopherol With Sesame Lignans by Life Extension
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
Low disclosure
This product contains 6 active ingredients, all forms of vitamin E: vitamin E, beta-tocopherol, gamma-tocopherol, alpha-tocopherol, gamma-E mixed tocopherols (a blend of the tocopherols listed separately), and delta tocopherol. These tocopherols work as antioxidants in your body.
The product also includes sesame seed lignan extract, which contains compounds from sesame thought to offer additional antioxidant support. The softgel capsule also contains several inactive ingredients — gelatin, glycerin, purified water, silica, sunflower lecithin, carob color, and rosemary extract — that serve as the capsule shell and preservative.
Does it work?
Strong evidence
Vitamin E is effective for treating vitamin E deficiency and a rare genetic condition called AVED (ataxia with vitamin E deficiency). It's possibly effective for Alzheimer disease, beta-thalassemia, G6PD deficiency, and intracranial hemorrhage, though the evidence is not conclusive.
Sesame seed lignan extract is possibly effective for high blood pressure, but possibly ineffective for cough. The evidence is insufficient to rate it for nonalcoholic fatty liver disease, HIV/AIDS-related wasting, Alzheimer disease, or anemia of chronic disease.
How safe is it?
Well-documented data
Vitamin E at usual dietary levels is generally well tolerated. However, the safety notes caution that high-dose long-term supplements may raise the risk of bleeding and other harms.
Serious but rare side effects from oral vitamin E include bleeding, hemorrhagic stroke, and cardiovascular complications. High doses in particular may increase bleeding risk if you have a vitamin K deficiency or take anticoagulant or antiplatelet drugs.
Sesame is a major allergen — allergic reactions ranging from skin rashes to breathing problems have been reported. One case of diarrhea was tied to sesame in a trial.
Because this product uses concentrated sesame extract rather than whole food, it's less well studied for safety. For pregnancy, vitamin E is rated possibly safe, but amounts from food and prenatal vitamins are appropriate; talk with your doctor before taking high-dose supplements.
For breastfeeding, vitamin E is likely safe at normal dietary amounts, though there's a possibly unsafe rating for high-dose supplements — check with your doctor or pharmacist first.
Meds to double-check
Moderate interaction found
Before taking this product, check with your doctor or pharmacist if you're on blood thinners or antiplatelet drugs (including warfarin) — vitamin E raises bleeding risk. Also flag blood pressure medications, diabetes drugs, chemotherapy (alkylating agents and antitumor antibiotics), selumetinib, and any drugs processed by CYP2C9 or CYP3A4 liver enzymes.
If you have a sesame allergy, avoid this product entirely.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with strong clinical evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
This supplement is geared toward people who want the antioxidant support of mixed vitamin E tocopherols combined with sesame lignans. If you take blood thinners, blood pressure meds, diabetes drugs, or certain chemotherapy drugs, this product isn't right for you without a conversation with your doctor or pharmacist first.
Even if you don't take medications, high-dose vitamin E can raise bleeding risk, so it's worth running your personal health history and prescription list past your doctor before you start.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 6 of 6 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Mar 24, 2017.
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 Gamma E Tocopherol With Sesame Lignans, straight from the product label.
| Brand | Life Extension |
|---|---|
| Barcode (UPC) | 737870759065 |
| Net contents | 60 Softgel(s) |
| Market status | On market |
| Date entered into DSLD | Mar 24, 2017 |
| DSLD ID | 70663 |
| Product type | Botanical With Nutrients |
| Supplement form | Softgel Capsule |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Gamma E Tocopherol With Sesame Lignans by Life Extension, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Vitamin E | 45 IU | 150% |
| Beta-Tocopherol | 0 NP | -- |
| Gamma-Tocopherol | 0 NP | -- |
| Alpha-Tocopherol | 0 NP | -- |
| Gamma-E Mixed Tocopherols | 359 mg | -- |
| Delta Tocopherol | 0 NP | -- |
| Sesame seed (Sesamum indicum) lignan extract | 20 mg | -- |
Other ingredients: Gelatin, Glycerin, purified Water, Silica, Sunflower Lecithin, Carob color, Rosemary extract
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.
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.
Storage
Store tightly closed in a cool, dry place.
General Statements
13030359
Foundation for longer life
To report a serious adverse event event or obtain product information, contact 1-866-280-2852.
Read the entire label and follow the directions carefully prior to use.
Formula
Enhanced, natural form of Vitamin E
Contains soybeans.
FDA Statement of Identity
Dietary Supplement
Precautions
Contains soybeans.
Warnings: -Keep out of reach of children.
-Do not exceed recommended dose. -Do not purchase if outer seal is broken or damaged.
-When using nutritional supplements, please consult with your physician if you are undergoing treatment for a medical condition or if you are pregnant or lactating.
Caution: If you are taking anti-coagulant or anti-platelet medications, or have a bleeding disorder, consult your healthcare provider before taking this product.
Suggested/Recommended/Usage/Directions
Directions: Take one (1) softgel once or twice daily with food, or as recommended by a healthcare practitioner.
General
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Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Gamma E Tocopherol With Sesame Lignans by Life Extension 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 Gamma E Tocopherol With Sesame Lignans by Life Extension
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Softgel(s) Dosage formSoftgel Capsule Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Vitamin E
Interacts with764 drugs
Vitamin E is an essential fat-soluble vitamin and antioxidant that most people get in adequate amounts from a normal diet. Supplements can help correc...
Vitamin E monograph & interactionsGamma-E Mixed Tocopherols
Interacts with764 drugs
Vitamin E is an essential fat-soluble vitamin and antioxidant that most people get in adequate amounts from a normal diet. Supplements can help correc...
Gamma-E Mixed Tocopherols monograph & interactionsSesame seed (Sesamum indicum) lignan extract
Interacts with528 drugs
Sesame is a nutritious seed and oil widely used in cooking and traditional medicine, and it provides healthy fats, fiber, and antioxidant compounds ca...
Sesame seed (Sesamum indicum) lignan extract monograph & interactionsOther (inactive) ingredients: Gelatin, Glycerin, Purified Water, Silica, Sunflower Lecithin, Carob color, Rosemary extract. These complete the product’s ingredient list but are not active constituents.
Gamma E Tocopherol With Sesame Lignans by Life Extension Drug Interactions
HelloPharmacist Interaction Report
Life Extension's Gamma E Tocopherol With Sesame Lignans carries documented interactions through its vitamin E content (alpha-, beta-, gamma-, and delta-tocopherol) and sesame seed lignan extract.
The most serious concern is a Moderate risk of bleeding with blood thinners (anticoagulants and antiplatelet drugs), including warfarin — vitamin E can interfere with vitamin K-dependent clotting factors and platelet clumping.
Read the full breakdown — every affected drug type, severity by severity
Vitamin E may also reduce how your liver breaks down certain medications (CYP3A4 substrates), potentially raising their levels in your blood. Additionally, it could theoretically blunt the effectiveness of some chemotherapy drugs — both alkylating agents like cyclophosphamide and antitumor antibiotics like doxorubicin — because its antioxidant effects may interfere with how these drugs work.
If you're taking selumetinib (Koselugo), which already contains vitamin E, adding this supplement could push your daily dose too high and increase bleeding risk.
The sesame lignan extract introduces separate concerns: it may lower blood pressure further if you're already on blood pressure medication, increase low blood sugar (hypoglycemia) risk with diabetes drugs, and theoretically interfere with the cancer drug tamoxifen. Sesame may also inhibit a liver enzyme (CYP2C9) that clears certain medications, though this hasn't been proven in humans.
Altogether, these interactions span 1,074 individual medications. Check your exact prescriptions with the tool on this page before starting, and talk with your doctor or pharmacist about whether this product is right for you.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Gamma E Tocopherol With Sesame Lignans?
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 Gamma E Tocopherol With Sesame Lignans interact with 1,073 drugs. Click any drug to see the details.
2 of the 3 ingredients in Gamma E Tocopherol With Sesame Lignans interact with drugs. Each result below shows which ingredient is responsible. Vitamin E Sesame seed (Sesamum indicum) lignan extract
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Delta Tocopherol + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Gamma E Tocopherol With Sesame Lignans — through 2 ingredients. Tap an ingredient for the detail:
Delta TocopherolAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Delta Tocopherol + Abrocitinib interactionSesame Seed (sesamum Indicum) Lignan ExtractCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, sesame might increase the levels and clinical effects of CYP2C9 substrates.
Read the full Sesame Seed (sesamum Indicum) Lignan Extract + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Gamma E Tocopherol With Sesame Lignans — through 2 ingredients. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acalabrutinib interactionSesame Seed (sesamum Indicum) Lignan ExtractP-glycoprotein Substrates Minor
Interaction Summary
Theoretically, sesame might alter the transport of P-glycoprotein substrates.
Read the full Sesame Seed (sesamum Indicum) Lignan Extract + Acalabrutinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Sesame Seed (sesamum Indicum) Lignan ExtractAntidiabetes Drugs Moderate
Interaction Summary
Taking sesame oil with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Sesame Seed (sesamum Indicum) Lignan Extract + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Sesame Seed (sesamum Indicum) Lignan ExtractAntihypertensive Drugs Moderate
Interaction Summary
Taking sesame oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Sesame Seed (sesamum Indicum) Lignan Extract + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Delta Tocopherol + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Delta Tocopherol + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolAnticoagulant/antiplatelet Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Delta Tocopherol + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + 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 Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Chlorpheniramine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR
How Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylpropanolamineAlumadrine, Conex, Sinadrin Max Strength, Sinulin
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine interacts with Gamma E Tocopherol With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Delta TocopherolCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Delta Tocopherol + Acetaminophen, Chlorpheniramine, Phenylpropanolamine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Gamma E Tocopherol With Sesame Lignans 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.
Vitamin E
Alkylating Agents
Theoretically, antioxidant effects of vitamin E might reduce the effectiveness of alkylating agents.
There's concern that antioxidants could reduce the activity of chemotherapy drugs which generate free radicals, such as cyclophosphamide, chlorambucil, carmustine, busulfan, and thiotepa. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as vitamin E have on chemotherapy. Advise patients to consult their oncologist before using vitamin E supplements, especially in high doses.
Anticoagulant/Antiplatelet Drugs
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Vitamin E seems to inhibit of platelet aggregation and antagonize the effects of vitamin K-dependent clotting factors. These effects appear to be dose-dependent, and are probably only likely to be clinically significant with doses of at least 800 units daily. Mixed tocopherols, such as those found in food, might have a greater antiplatelet effect than alpha-tocopherol. RRR alpha-tocopherol (natural vitamin E) 1000 IU daily antagonizes vitamin K-dependent clotting factors. Advise patients to avoid high doses of vitamin E, especially in people with low vitamin K intake or other risk factors for bleeding.
Antitumor Antibiotics
Theoretically, antioxidant effects of vitamin E might reduce the effectiveness of antitumor antibiotics.
There's concern that antioxidants could reduce the activity of antitumor antibiotic drugs such as doxorubicin, which generate free radicals. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as vitamin E have on chemotherapy involving antitumor antibiotics. Advise patients to consult their oncologist before using vitamin E supplements, especially in high doses.
Cyclosporine (Neoral, Sandimmune)
A specific form of vitamin E might increase absorption and levels of cyclosporine.
There is some evidence that one specific formulation of vitamin E (D-alpha-tocopheryl-polyethylene glycol-1000 succinate, TPGS, tocophersolan, Liqui-E) might increase absorption of cyclosporine. This vitamin E formulation forms micelles which seems to increase absorption of cyclosporine by 40% to 72% in some patients. However, this interaction is unlikely to occur with the usual forms of vitamin E.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Vitamin E appears to bind with the nuclear receptor, pregnane X receptor (PXR), which results in increased expression of CYP3A4. Although the clinical significance of this is not known, use caution when considering concomitant use of vitamin E and other drugs affected by these enzymes.
Selumetinib (Koselugo)
Taking selumetinib with vitamin E can result in a total daily dose of vitamin E that exceeds safe limits and therefore might increase the risk of bleeding.
Selumetinib contains 48-54 IU vitamin E per capsule. The increased risk of bleeding with vitamin E appears to be dose-dependent. Be cautious when using selumetinib in combination with supplemental vitamin E, especially in patients at higher risk of bleed, such as those with chronic conditions and those taking antiplatelet drugs.
Warfarin (Coumadin)
Using vitamin E with warfarin might increase the risk of bleeding.
Due to interference with production of vitamin K-dependent clotting factors, use of more than 400 IU of vitamin E daily with warfarin might increase prothrombin time (PT), INR, and the risk of bleeding,. At a dose of 1000 IU per day, vitamin E can antagonize vitamin K-dependent clotting factors even in people not taking warfarin. Limited clinical evidence suggests that doses up to 1200 IU daily may be used safely by patients taking warfarin, but this may not be applicable in all patient populations.
Niacin
Vitamin E might decrease the beneficial effects of niacin on high-density lipoprotein (HDL) cholesterol levels.
A combination of niacin and simvastatin (Zocor) effectively raises high-density lipoprotein (HDL) cholesterol levels in people with coronary disease and low HDL levels. Clinical research shows that taking a combination of antioxidants (vitamin C, vitamin E, beta-carotene, and selenium) along with niacin and simvastatin (Zocor) attenuates this rise in HDL, specifically the HDL-2 and apolipoprotein A1 fractions, by more than 50%. Vitamin E alone combined with a statin does not seem to decrease HDL levels. It is not known whether the adverse effect on HDL is due to one of the other antioxidants or to the combination. It also is not known whether it will occur in other patient populations.
Sesame seed (Sesamum indicum) lignan extract
Antidiabetes Drugs
Taking sesame oil with antidiabetes drugs might increase the risk of hypoglycemia.
Clinical studies show that sesame oil can decrease plasma glucose and glycated hemoglobin (HbA1c) levels. Some clinical research in patients taking glibenclamide shows that using sesame oil or a blend of sesame oil and rice bran oil in place of other oil for cooking reduces plasma glucose more than glibenclamide alone. Monitor blood glucose levels closely. Dose adjustments might be necessary.
Antihypertensive Drugs
Taking sesame oil with antihypertensive drugs might increase the risk of hypotension.
Clinical research shows that replacing other cooking oil with sesame oil can lower systolic blood pressure (SBP) and diastolic blood pressure (DBP) in patients with or without hypertension. There is also some evidence that sesame oil has additive effects in patients also taking atenolol, nifedipine, and/or hydrochlorothiazide. In patients using nifedipine, using a blend of sesame oil and rice bran oil for cooking reduces both SBP and DBP more than nifedipine alone.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, sesame might increase the levels and clinical effects of CYP2C9 substrates.
In vitro, sesame inhibits CYP2C9. However, this interaction has not been reported in humans.
Tamoxifen (Nolvadex)
Theoretically, sesame might interfere with tamoxifen.
In animal research, sesame seed reduces the tumor-inhibitory effect of tamoxifen by reducing apoptosis and increasing proliferation. This interaction has not been reported in humans.
P-Glycoprotein Substrates
Theoretically, sesame might alter the transport of P-glycoprotein substrates.
In vitro research suggests that sesamin, a constituent of sesame, can inhibit the multi-drug transporter protein, P-glycoprotein. However, this interaction has not been reported in humans.
Brand information
Manufacturer and brand details for Gamma E Tocopherol With Sesame Lignans, from the product label.
Life Extension
See all Life Extension products- Name
- Quality Supplements and Vitamins, Inc.
- City
- Ft. Lauderdale
- State
- FL
- ZipCode
- 33309
- Phone Number
- 866-280-2852
- Web Address
- www.lef.org
Gamma E Tocopherol With Sesame Lignans by Life Extension: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Gamma E Tocopherol With Sesame Lignans’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Vitamin E
Interacts with 764 drugsVitamin E is an essential fat-soluble vitamin and antioxidant that most people get in adequate amounts from a normal diet. Supplements can help correct a true deficiency, but high-dose vitam...
Read the full Vitamin E monograph → Herb & supplement monographSesame
Interacts with 528 drugsSesame is a nutritious seed and oil widely used in cooking and traditional medicine, and it provides healthy fats, fiber, and antioxidant compounds called lignans. Some early research sugges...
Read the full Sesame monograph →Sources & How We Checked
Gamma E Tocopherol With Sesame Lignans'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 117 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.
Vitamin E 64 references
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