GI + Biome Complex Ingredients & Drug Interactions
What is this page for?
First and foremost: checking GI + Biome Complex 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
GI + Biome Complex is a dietary supplement by Enzyme Science with 5 active ingredients. Its ingredients are commonly taken for zinc deficiency, immune support, cold symptoms.Based on those ingredients, 353 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Livaux, Zinc. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against GI + Biome Complex by Enzyme Science
Ask about any prescription or over-the-counter medication and we check it for interactions with GI + Biome Complex by Enzyme Science — 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 GI + Biome Complex by Enzyme Science
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This product contains 5 active ingredients. Zinc is an essential mineral that helps your immune system and wound healing — the research supports its use for zinc deficiency and Wilson disease, a copper-storage disorder.
Lipase is an enzyme that breaks down dietary fats and may support digestion, though the evidence for it in digestive conditions is still being studied. The other three ingredients are PepZin GI, ButyraGen, and Livaux (kiwi fruit extract), which are included to support your gut and digestive health.
The capsule itself is made from plant cellulose, rice fiber, and water.
Does it work?
Moderate evidence
The science behind zinc in this product is solid — it's proven effective for zinc deficiency and likely effective for Wilson disease. For other uses like acne, age-related macular degeneration, and blood sugar support, the evidence is still limited (possibly effective).
Lipase's effectiveness for digestive conditions like dyspepsia and inflammatory bowel disease hasn't been reliably established in the studies we hold. Kiwi extract (Livaux) similarly lacks solid evidence for asthma, constipation, high blood pressure, or irritable bowel syndrome in supplement form, though kiwi as a food is well-studied.
How safe is it?
Well-documented data
Zinc is well tolerated in doses up to 40 mg daily for adults. At higher doses, it can cause nausea, diarrhea, abdominal cramps, and a metallic taste — all dose-related.
Over the long term, very high zinc doses raise the risk of copper deficiency, which could lead to anemia. Lipase has no reported adverse effects in adults, though safety data is limited.
Kiwi can cause allergic reactions in some people — ranging from itching and swelling in the mouth to, rarely, anaphylaxis and asthma attacks. There isn't enough pregnancy and breastfeeding data on supplemental lipase to advise either way; talk to your doctor or pharmacist.
Kiwi itself is likely safe in pregnancy and lactation when eaten as food, but concentrated supplements haven't been well studied.
Meds to double-check
Moderate interaction found
Before you take this, check whether you're on any antibiotics — especially quinolones, tetracyclines, or cephalexin — or the medication penicillamine; zinc will reduce how well they work and you'll need to space them out. If you take blood thinners (like warfarin or clopidogrel) or blood-pressure drugs, flag those too, because the kiwi extract can add to those effects.
Also check if you're on HIV medications (ritonavir or integrase inhibitors) or the cancer drug cisplatin.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This product may help if you have a zinc deficiency or are managing certain digestive concerns, but it's worth checking with your pharmacist first — especially if you take antibiotics, blood thinners, or blood-pressure medications. Anyone with a kiwi allergy should avoid it entirely.
If you're pregnant, breastfeeding, or taking prescription drugs, run your medication list through our checker before you start.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 5 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 25, 2025.
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 GI + Biome Complex, straight from the product label.
| Brand | Enzyme Science |
|---|---|
| Barcode (UPC) | 670480300718 |
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Jun 25, 2025 |
| DSLD ID | 334825 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, Adult (18 - 50 Years), Gluten Free, Dairy 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 GI + Biome Complex by Enzyme Science, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Zinc | 6 mg | 60% |
| Lipase | 40 mg | -- |
| PepZin GI | 30 mg | -- |
| ButyraGen | 200 mg | -- |
| Livaux | 200 mg | -- |
Other ingredients: Rice Fiber, Hydroxypropyl Methylcellulose, Water
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formula
With scientifically studied ButyraGen (with tributyrin and fiber), LIpase Thera-blend, PepZin GI Zinc-Carnosine & organic golden kiwi Lipase supports butyrate's release, Livaux golden kiwi provides dietary fiber and PepZin GI Zinc-Carnosine helps rebuild mucosa.
Formulation
GI + Biome Complex promotes a healthy balance in the small and large intestine microbiome, while supporting the epithelial lining's integrity. Prebiotic fibers in ButyraGen work synergistically to promote butyrate-producing bacteria in the gut, while reducing occasional gas. Formula also promotes healthy motility.
Healthy function & integrity of the intestines Helps promote mucosal integrity Helps maintain healthy gut bacteria Supports butyrate production
Vegan
Gluten-free Contains no: casein, crustaceans, eggs, fish, gluten, milk, nuts, sesame, shellfish, soy, wheat; Artificial colors, fillers or flavors Non-GMO
Suggested/Recommended/Usage/Directions
Recommended Dose: 2 capsules, once a day. More may be taken as recommended by a healthcare practitioner.
Precautions
Do not use if safety seal is broken or missing.
Keep out of reach of children.
Storage
Keep closed in dry place; avoid excessive heat.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
General Statements
Scan for Protocol Practitioner division of Enzymedica
FDA Statement of Identity
Dietary Supplement
Brand IP Statement(s)
ButyraGen is a trademark of NutriScience Innovations, LLC
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
GI + Biome Complex by Enzyme Science 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 GI + Biome Complex by Enzyme Science
These are the 5 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 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.
Zinc
Interacts with67 drugs
Zinc is an essential mineral that your body needs for immune function, wound healing, taste, and smell. Most people get enough from food, but suppleme...
Zinc monograph & interactionsLipase
No knowninteractions
Lipase is a digestive enzyme that helps your body break down dietary fats. It is well established as part of prescription pancreatic enzyme therapy fo...
Lipase monograph & interactionsPepZin GI
ButyraGen
Livaux
Interacts with289 drugs
Kiwi is a nutritious fruit that is rich in vitamin C, fiber, and antioxidants, and it is generally safe to eat as a food. The strongest evidence is fo...
Livaux monograph & interactionsOther (inactive) ingredients: Rice Fiber, Hydroxypropyl Methylcellulose, Water. These complete the product’s ingredient list but are not active constituents.
GI + Biome Complex by Enzyme Science Drug Interactions
HelloPharmacist Interaction Report
Enzyme Science's GI + Biome Complex contains zinc and kiwi extract (Livaux), both of which interact with medications.
The most serious interactions we've documented are Moderate in severity.
Read the full breakdown — every affected drug type, severity by severity
Zinc can reduce how well several antibiotic classes work by binding to them in your gut. This includes quinolone antibiotics (like ciprofloxacin), tetracyclines, and cephalexin — it can cut antibiotic levels by 27 to 40 percent.
It also affects penicillamine, a medication used for certain heavy-metal conditions and autoimmune disorders. If you take any of these antibiotics or penicillamine, space the zinc at least 2 to 4 hours apart from your dose.
Zinc may also reduce levels of the HIV drugs ritonavir and integrase inhibitors (including bictegravir/emtricitabine/tenofovir alafenamide), and theoretically could interfere with the cancer drug cisplatin.
Kiwi extract can lower blood pressure and thin the blood slightly. If you're on blood-pressure medication or blood thinners (including aspirin, warfarin, or clopidogrel), kiwi might add to that effect and raise your bleeding or low-pressure risk.
We could not check two other ingredients in this product — PepZin GI and ButyraGen — because we hold no interaction data for them. Use the medication checker on this page to look up your exact prescriptions before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against GI + Biome Complex?
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 GI + Biome Complex interact with 353 drugs. Click any drug to see the details.
2 of the 5 ingredients in GI + Biome Complex interact with drugs. Each result below shows which ingredient is responsible. Livaux Zinc
AbciximabReoPro
How Abciximab interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Abrocitinib interactionAcebutololRhotral, Sectral
How Acebutolol interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAntihypertensive Drugs Moderate
Interaction Summary
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals.
Read the full Livaux + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Acetaminophen, Ibuprofen interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAntihypertensive Drugs Moderate
Interaction Summary
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals.
Read the full Livaux + Acetazolamide interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Acetylsalicylic Acid interactionAliskirenTekturna
How Aliskiren interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAntihypertensive Drugs Moderate
Interaction Summary
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals.
Read the full Livaux + Aliskiren interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAntihypertensive Drugs Moderate
Interaction Summary
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals.
Read the full Livaux + Ambrisentan interactionAmilorideAmilamont, Midamor
How Amiloride interacts with GI + Biome Complex — through 2 ingredients. Tap an ingredient for the detail:
LivauxAntihypertensive Drugs Moderate
Interaction Summary
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals.
Read the full Livaux + Amiloride interactionZincAmiloride (midamor) Minor
Interaction Summary
Amiloride can modestly reduce zinc excretion and increase zinc levels.
Read the full Zinc + Amiloride interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with GI + Biome Complex — through 2 ingredients. Tap an ingredient for the detail:
LivauxAntihypertensive Drugs Moderate
Interaction Summary
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals.
Read the full Livaux + Amiloride, Hydrochlorothiazide interactionZincAmiloride (midamor) Minor
Interaction Summary
Amiloride can modestly reduce zinc excretion and increase zinc levels.
Read the full Zinc + Amiloride, Hydrochlorothiazide interactionAmlodipineNorliqva
How Amlodipine interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAntihypertensive Drugs Moderate
Interaction Summary
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals.
Read the full Livaux + Amlodipine interactionAmlodipine BenzoateKaterzia
How Amlodipine Benzoate interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAntihypertensive Drugs Moderate
Interaction Summary
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals.
Read the full Livaux + Amlodipine Benzoate interactionAmlodipine BesilateIstin
How Amlodipine Besilate interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAntihypertensive Drugs Moderate
Interaction Summary
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals.
Read the full Livaux + Amlodipine Besilate interactionAmlodipine BesylateNorvasc
How Amlodipine Besylate interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAntihypertensive Drugs Moderate
Interaction Summary
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals.
Read the full Livaux + Amlodipine Besylate interactionAmlodipine Besylate, BenazeprilLotrel
How Amlodipine Besylate, Benazepril interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAntihypertensive Drugs Moderate
Interaction Summary
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals.
Read the full Livaux + Amlodipine Besylate, Benazepril interactionAmlodipine, CelecoxibConsensi
How Amlodipine, Celecoxib interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAntihypertensive Drugs Moderate
Interaction Summary
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals.
Read the full Livaux + Amlodipine, Celecoxib interactionAmmonium ChlorideAmmonium Chloride
How Ammonium Chloride interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAntihypertensive Drugs Moderate
Interaction Summary
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals.
Read the full Livaux + Ammonium Chloride interactionAmphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Amphotericin, Tetracycline interactionAnacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Anacaulase-bcdb interactionAnagrelideAgrylin
How Anagrelide interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Anagrelide interactionAnisindioneMiradon
How Anisindione interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Anisindione interactionAntithrombin IiiThrombate III
How Antithrombin Iii interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Antithrombin Iii interactionApixabanEliquis
How Apixaban interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Clinical research suggests that kiwi inhibits platelet aggregation.
Read the full Livaux + Apixaban interactionAprocitentanTryvio
How Aprocitentan interacts with GI + Biome Complex — through 1 ingredient. Tap an ingredient for the detail:
LivauxAntihypertensive Drugs Moderate
Interaction Summary
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals.
Read the full Livaux + Aprocitentan interactionEach ingredient & the kinds of drugs it affects
For each ingredient in GI + Biome Complex 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.
Livaux
Anticoagulant/Antiplatelet Drugs
Clinical research suggests that kiwi inhibits platelet aggregation. Theoretically, kiwi might increase the risk of bleeding when used with antiplatelet or anticoagulant drugs. Some anticoagulant or antiplatelet drugs include aspirin, clopidogrel (Plavix), dalteparin (Fragmin), enoxaparin (Lovenox), heparin, ticlopidine (Ticlid), warfarin (Coumadin), and others.
Antihypertensive Drugs
Clinical research suggests that consuming kiwi reduces systolic and diastolic blood pressure in hypertensive individuals. Theoretically, concomitant use of kiwi and antihypertensive drugs may increase the risk of hypotension when used in combination with drugs that lower blood pressure. These include captopril (Capoten), enalapril (Vasotec), losartan (Cozaar), valsartan (Diovan), diltiazem (Cardizem), amlodipine (Norvasc), hydrochlorothiazide (HydroDiuril), furosemide (Lasix), and many others.
Zinc
Bictegravir/Emtricitabine/Tenofovir Alafenamide (Biktarvy)
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Advise patients that bictegravir/emtricitabine/tenofovir alafenamide should be taken at least 2 hours before or 6 hours after zinc containing products.
Cephalexin (Keflex)
Zinc might decrease cephalexin levels by chelating with cephalexin in the gut and preventing its absorption.
A pharmacokinetic study shows that zinc sulfate 250 mg taken concomitantly with cephalexin 500 mg decreases peak levels of cephalexin by 31% and reduces the exposure to cephalexin by 27%. Also, taking zinc sulfate 3 hours before cephalexin decreases peak levels of cephalexin by 11% and reduces the exposure to cephalexin by 18%. By decreasing cephalexin levels, zinc might increase the risk of treatment failure. This effect does not occur when zinc is taken 3 hours after the cephalexin dose. To avoid an interaction, advise patients take zinc sulfate 3 hours after taking cephalexin.
Cisplatin (Platinol-Aq)
Theoretically, zinc might interfere with the therapeutic effects of cisplatin.
Animal research suggests that zinc stimulates tumor cell production of the protein metallothionein, which binds and inactivates cisplatin. It is not known whether zinc supplements or high dietary zinc intake can cause clinically significant interference with cisplatin therapy. Cisplatin might also increase zinc excretion.
Integrase Inhibitors
Theoretically, taking zinc along with integrase inhibitors might decrease the levels and clinical effects of these drugs.
Zinc is a divalent cation. Pharmacokinetic studies have shown that other divalent cations such as calcium and iron can decrease blood levels of the integrase inhibitor dolutegravir through chelation.
Penicillamine (Cuprimine, Depen)
Zinc might reduce the levels and clinical effects of penicillamine.
By forming an insoluble complex with penicillamine, zinc interferes with penicillamine absorption and activity. Zinc supplements reduce the efficacy of low-dose penicillamine (0.5-1 gram/day), but do not seem to affect higher doses (1-2.75 gram/day), provided dosing times are separated. Advise patients to take zinc and penicillamine at least 2 hours apart.
Quinolone Antibiotics
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Quinolones form complexes with zinc in the gastrointestinal tract, reducing absorption of both the quinolone and zinc if taken at the same time. Advise patients to take these drugs at least 2 hours before, or 4-6 hours after, zinc supplements.
Ritonavir (Norvir)
Zinc modestly reduces levels of ritonavir.
Clinical research shows that zinc might reduce serum ritonavir levels by chelating with ritonavir in the gut and preventing its absorption. In patients with HIV, ritonavir is taken with atazanavir to prevent the metabolism and increase the effects of atazanavir. A pharmacokinetic study shows that, in patients being treated with atazanavir/ritonavir, co-administration of zinc sulfate (Solvazinc tablets) 125 mg as a single dose or as multiple daily doses for 2 weeks reduces plasma levels of ritonavir by about 16%. However, atazanavir levels still remains high enough to prevent HIV virus replication. Therefore, the decrease in ritonavir levels is not likely to be clinically significant.
Tetracycline Antibiotics
Zinc might reduce levels of tetracycline antibiotics.
Tetracyclines form complexes with zinc in the gastrointestinal tract, which can reduce absorption of both the tetracycline and zinc when taken at the same time. Taking zinc sulfate 200 mg with tetracycline reduces absorption of the antibiotic by 30% to 40%. Demeclocycline and minocycline cause a similar interaction. However, doxycycline does not seem to interact significantly with zinc. Advise patients to take tetracyclines at least 2 hours before, or 4-6 hours after, zinc supplements to avoid any interactions.
Amiloride (Midamor)
Amiloride can modestly reduce zinc excretion and increase zinc levels.
Clinical research shows that amiloride can reduce urinary zinc excretion, especially at doses of 10 mg per day or more. This zinc-sparing effect can help to counteract zinc losses caused by thiazide diuretics, but it is unlikely to cause zinc toxicity at usual amiloride doses. The other potassium-sparing diuretics, spironolactone (Aldactone) and triamterene (Dyrenium), do not seem to have a zinc-sparing effect.
Atazanavir (Reyataz)
Zinc modestly reduces levels of atazanavir, although this effect does not seem to be clinically significant.
Clinical research shows that zinc might decrease serum atazanavir levels by chelating with atazanavir in the gut and preventing its absorption. Although a single dose of zinc sulfate (Solvazinc tablets) 125 mg orally does not affect atazanavir concentrations in patients being treated with atazanavir/ritonavir, co-administration of zinc sulfate 125 mg daily for 2 weeks reduces plasma levels of atazanavir by about 22% in these patients. However, despite this decrease, atazanavir levels still remain at high enough concentrations for the prevention of HIV virus replication.
Brand information
Manufacturer and brand details for GI + Biome Complex, from the product label.
Enzyme Science
See all Enzyme Science products- Name
- Enzyme Science
- City
- Venice
- State
- FL
- ZipCode
- 34292
- Phone Number
- 855-281-7246
- Web Address
- EnzyScience.com
GI + Biome Complex by Enzyme Science: Common Questions
Does GI + Biome Complex by Enzyme Science interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm allergic to kiwis?
What does zinc actually do in this formula?
Will this help my digestion?
What side effects might I notice from the zinc?
Is this safe to take while breastfeeding?
Can I take this with my antibiotic?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if GI + Biome Complex is safe with your meds?
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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 GI + Biome Complex’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Zinc
Interacts with 67 drugsZinc is an essential mineral that your body needs for immune function, wound healing, taste, and smell. Most people get enough from food, but supplements can help correct or prevent a defici...
Read the full Zinc monograph → Herb & supplement monographLipase
Lipase is a digestive enzyme that helps your body break down dietary fats. It is well established as part of prescription pancreatic enzyme therapy for people who cannot make enough of their...
Read the full Lipase monograph → Herb & supplement monographKiwi
Interacts with 289 drugsKiwi is a nutritious fruit that is rich in vitamin C, fiber, and antioxidants, and it is generally safe to eat as a food. The strongest evidence is for helping with constipation and overall...
Read the full Kiwi monograph →Sources & How We Checked
GI + Biome Complex'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 121 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.
Zinc 88 references
- Barceloux DG. Zinc. J Toxicol Clin Toxicol 1999;37:279-92.
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