Gymnema Sylvestre Ingredients & Drug Interactions
by DC
What is this page for?
First and foremost: checking Gymnema Sylvestre 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
Gymnema Sylvestre is a dietary supplement by DC with 2 active ingredients. Its ingredients are commonly taken for blood sugar support, type 2 diabetes, sugar cravings.Based on those ingredients, 851 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Gymnema sylvestre. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Gymnema Sylvestre by DC
Ask about any prescription or over-the-counter medication and we check it for interactions with Gymnema Sylvestre by DC — 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 Gymnema Sylvestre by DC
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 2 active ingredients. Gymnema sylvestre is the primary herb, traditionally used for its potential effects on blood sugar and metabolism.
Pullulan is a capsule ingredient we could not check for interactions because we hold no data for it. The product also contains inactive ingredients: gelatin, vegetable cellulose, and vegetable magnesium stearate, which serve as the capsule and filler material.
Does it work?
Couldn't assess
The evidence we hold does not establish that gymnema works reliably for diabetes, prediabetes, metabolic syndrome, or obesity. The effectiveness ratings for these uses are all insufficient evidence to rate — meaning the research available does not yet support a clear conclusion about whether it's effective.
How safe is it?
Well-documented data
Gymnema is generally well tolerated in the short term, though quality varies between products. The main safety concern is that it lowers blood sugar, so caution is warranted if you take it regularly or if you have diabetes.
Rare cases of liver injury have been reported, including hepatitis and a case of hepatitis-associated aplastic anemia with symptoms like jaundice, fatigue, and abnormal blood counts. The safety data during pregnancy and breastfeeding is not established, so both should be avoided without talking to your doctor or pharmacist.
Meds to double-check
Moderate interaction found
Before you take this product, check with your doctor or pharmacist if you take antidiabetes drugs (risk of low blood sugar), blood thinners like warfarin, any pain relievers or cold medications, statins or other cholesterol drugs, blood pressure medications, or any drug your doctor says is metabolized by your liver. Altogether, these interactions span 852 individual medications.
The bottom line
Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Gymnema Sylvestre is generally well tolerated short-term, but it's not established to be effective for diabetes, prediabetes, or weight management. Its main risk is lowering blood sugar — especially dangerous if you take antidiabetes drugs — and it interacts with a wide range of medications by affecting how your liver processes them.
If you take any prescription medication or have diabetes, check with your doctor or pharmacist before starting.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jul 27, 2021.
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 Gymnema Sylvestre, straight from the product label.
| Brand | DC |
|---|---|
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Jul 27, 2021 |
| DSLD ID | 245012 |
| 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 |
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 Gymnema Sylvestre by DC, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Pullulan | 150 mg | -- |
| Gymnema sylvestre | 300 mg | -- |
Other ingredients: Gelatin, Vegetable Cellulose, Vegetable Magnesium Stearate
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.
Precautions
Tamper Evident: Do not use this product if imprinted foil seal under cap is broken or missing.
Keep out of reach of children.
Warning: If you are pregnant or nursing, do not take this product.
Formulation
FDA Registered Facility (Reg. #1023013) Mfg. under Good Manufacturing Practices (GMPs)
Conforms to USP <2091> for weight. Meets USP <2040> disintegration for maximum bioavailability.
Gluten free
Use as part of your diet to help maintain a healthy blood sugar level
Made in USA
Storage
Keep tightly closed. Store at room temperature: 59 degrees - 86 degrees F (15 degrees to 30 degrees C).
Suggested/Recommended/Usage/Directions
Directions: As a dietary supplement, take 1 capsule twice daily, with water, 15 minutes before a meal.
FDA Disclaimer Statement
This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
Seals/Symbols
Quali Pure
Formula
With pullulan
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Gymnema Sylvestre by DC 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 Gymnema Sylvestre by DC
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container60 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.
Pullulan
Gymnema sylvestre
Interacts with851 drugs
Gymnema is an Ayurvedic herb best known for possibly helping lower blood sugar and reducing the taste of sweetness on the tongue. Some early human stu...
Gymnema sylvestre monograph & interactionsOther (inactive) ingredients: Gelatin, Vegetable Cellulose, Vegetable Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.
Gymnema Sylvestre by DC Drug Interactions
HelloPharmacist Interaction Report
Gymnema Sylvestre by DC has documented interactions with a substantial number of medications, primarily through how gymnema affects the enzymes your liver uses to break down drugs.
The most serious concern is with antidiabetes drugs (Moderate severity) — gymnema can lower blood sugar on its own, and when combined with diabetes medications it may push your blood sugar too low.
Read the full breakdown — every affected drug type, severity by severity
Gymnema also interacts with drugs metabolized by three major liver enzymes. It can increase levels of CYP1A2 substrates (Moderate) — a category that includes some pain relievers and other common medications.
It affects CYP2C9 substrates unpredictably (Moderate), sometimes raising and sometimes lowering their levels depending on the drug; this group includes blood thinners like warfarin and some diabetes medications. It may modestly raise levels of CYP3A4 substrates (Minor), a very large drug category that spans statins, some blood pressure medications, immunosuppressants, and many others.
One ingredient, pullulan, could not be checked because we hold no data for it. Before you start this product, run your exact medications through the interaction checker on this page.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Gymnema Sylvestre?
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 Gymnema Sylvestre interact with 851 drugs. Click any drug to see the details.
1 of the 2 ingredients in Gymnema Sylvestre interact with drugs. Each result below shows which ingredient is responsible. Gymnema sylvestre
Aspirin, Caffeine, Phenacetin, PropoxypheneMargesic Comp. 65
How Aspirin, Caffeine, Phenacetin, Propoxyphene interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 1a2 (cyp1a2) Substrates, Phenacetin +1 Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre + Aspirin, Caffeine, Phenacetin, Propoxyphene interactionAspirin, OmeprazoleYosprala
How Aspirin, Omeprazole interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase or decrease levels of drugs metabolized by CYP2C9.
Read the full Gymnema Sylvestre + Aspirin, Omeprazole interactionAspirin, PentazocineTalwin Compound
How Aspirin, Pentazocine interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre + Aspirin, Pentazocine interactionAzilsartanEdarbi
How Azilsartan interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase or decrease levels of drugs metabolized by CYP2C9.
Read the full Gymnema Sylvestre + Azilsartan interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase or decrease levels of drugs metabolized by CYP2C9.
Read the full Gymnema Sylvestre + Azilsartan, Chlorthalidone interactionBelladonna, Caffeine, Ergotamine, PentobarbitalMicomp PB
How Belladonna, Caffeine, Ergotamine, Pentobarbital interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre + Belladonna, Caffeine, Ergotamine, Pentobarbital interactionBellafoline, Caffeine, Ergotamine Tartrate, PentobarbitalCafergot PB
How Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre + Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital interactionBendamustineBelrapzo, Treanda, Vivimusta
How Bendamustine interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre + Bendamustine interactionBendamustine HydrochlorideBendeka
How Bendamustine Hydrochloride interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre + Bendamustine Hydrochloride interactionBenzhydrocodone, AcetaminophenApadaz
How Benzhydrocodone, Acetaminophen interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre + Benzhydrocodone, Acetaminophen interactionBosentanTracleer
How Bosentan interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre + Bosentan interactionBudesonide, FormoterolSymbicort
How Budesonide, Formoterol interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase or decrease levels of drugs metabolized by CYP2C9.
Read the full Gymnema Sylvestre + Budesonide, Formoterol interactionBupivacaine, MeloxicamZynrelef Kit
How Bupivacaine, Meloxicam interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase or decrease levels of drugs metabolized by CYP2C9.
Read the full Gymnema Sylvestre + Bupivacaine, Meloxicam interactionCaffeine (otc Drug)Molie, Overtime, Vivarin
How Caffeine (otc Drug) interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre + Caffeine (otc Drug) interactionCaffeine (prescription Drug)Caffeine, Dextrophin
How Caffeine (prescription Drug) interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre + Caffeine (prescription Drug) interactionCaffeine , Sodium BenzoateCaffeine and Sodium Benzoate
How Caffeine , Sodium Benzoate interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre + Caffeine , Sodium Benzoate interactionCaffeine, Diphenhydramine, Ergotamine (prescription Drug)Ergodryl
How Caffeine, Diphenhydramine, Ergotamine (prescription Drug) interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre + Caffeine, Diphenhydramine, Ergotamine (prescription Drug) interactionCaffeine, Ergotamine (prescription Drug)Migergot
How Caffeine, Ergotamine (prescription Drug) interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre + Caffeine, Ergotamine (prescription Drug) interactionCaffeine, Ergotamine Tartrate (prescription Drug)Cafergot, Wigraine
How Caffeine, Ergotamine Tartrate (prescription Drug) interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre + Caffeine, Ergotamine Tartrate (prescription Drug) interactionCaffeine, Potassium Salicylate, SalicylamideTrim-Elim
How Caffeine, Potassium Salicylate, Salicylamide interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre + Caffeine, Potassium Salicylate, Salicylamide interactionCanagliflozinInvokana
How Canagliflozin interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking gymnema with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Gymnema Sylvestre + Canagliflozin interactionCanagliflozin, MetforminInvokamet
How Canagliflozin, Metformin interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking gymnema with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Gymnema Sylvestre + Canagliflozin, Metformin interactionCanagliflozin, Metformin HydrochlorideInvokamet XR
How Canagliflozin, Metformin Hydrochloride interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking gymnema with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Gymnema Sylvestre + Canagliflozin, Metformin Hydrochloride interactionCarvedilolCoreg, Coreg CR
How Carvedilol interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase or decrease levels of drugs metabolized by CYP2C9.
Read the full Gymnema Sylvestre + Carvedilol interactionCelecoxibCelebrex, Elyxyb
How Celecoxib interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase or decrease levels of drugs metabolized by CYP2C9.
Read the full Gymnema Sylvestre + Celecoxib interactionCelecoxib, TramadolSeglentis
How Celecoxib, Tramadol interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre + Celecoxib, Tramadol interactionChlordiazepoxideLibrium
How Chlordiazepoxide interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre + Chlordiazepoxide interactionChlordiazepoxide, Clidinium BromideLibrax
How Chlordiazepoxide, Clidinium Bromide interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre + Chlordiazepoxide, Clidinium Bromide interactionChlorpropamideChlorpropam, Diabinese
How Chlorpropamide interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking gymnema with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Gymnema Sylvestre + Chlorpropamide interactionClomipramineAnafranil, Anafranil SR
How Clomipramine interacts with Gymnema Sylvestre — through 1 ingredient. Tap an ingredient for the detail:
Gymnema SylvestreCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre + Clomipramine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Gymnema Sylvestre with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Gymnema sylvestre
Antidiabetes Drugs
Theoretically, taking gymnema with antidiabetes drugs might increase the risk of hypoglycemia.
Gymnema reduces blood glucose levels in some human and animal research. In human studies, it has been shown to enhance the blood glucose lowering effects of hypoglycemic drugs. However, other research in adults with prediabetes or metabolic syndrome suggests that gymnema does not reduce fasting levels of blood glucose. Until more is known, monitor blood glucose levels closely.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Animal and in vitro research shows that gymnema can inhibit the CYP1A2 enzyme. In one animal study, oral administration of gymnema for 7 days increased the plasma concentrations of phenacetin, a CYP1A2 substrate, by about 1.4-fold and reduced the clearance of phenacetin by about 29%.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, gymnema might increase or decrease levels of drugs metabolized by CYP2C9.
Animal research shows that gymnema can induce the CYP2C9 enzyme. In one animal study, gymnema caused a 2.4-fold increase in the clearance of tolbutamide, a CYP2C9 substrate, in rats. In vitro research also shows that gymnema can inhibit CYP2C9.
Phenacetin
Theoretically, taking gymnema with phenacetin might increase the levels of phenacetin.
Animal research shows that gymnema, administered orally for 7 days, decreases the clearance of phenacetin in a dose-dependent manner by about 21% to 29% and increases plasma levels about 1.3- to 1.4-fold when compared to control.
Tolbutamide (Orinase)
Theoretically, taking gymnema with tolbutamide might the decrease levels of tolbutamide.
Animal research shows that gymnema, administered orally for 7 days, increases the clearance of tolbutamide by 2.4-fold when compared to control.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
One in vitro study using rat liver microsomes shows that gymnema can modestly inhibit the CYP3A4 enzyme. However, other in vitro research using human liver microsomes shows that gymnema does not affect CYP3A4 activity. Animal research also shows that gymnema does not alter the function of CYP3A4. In one study in rats, oral administration of gymnema for 7 days did not alter the clearance of amlodipine, a CYP3A4 substrate.
Brand information
Manufacturer and brand details for Gymnema Sylvestre, from the product label.
DC
See all DC products- Name
- Dee Cee Laboratories, Inc.
- Street Address
- 304 Dee Cee Rd.
- City
- White House
- State
- TN
- ZipCode
- 37188
Gymnema Sylvestre by DC: Common Questions
Does Gymnema Sylvestre by DC 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 have diabetes or prediabetes?
Is it safe during pregnancy or breastfeeding?
Can gymnema cause liver damage?
Does this product actually work for blood sugar or weight?
What is pullulan, the other ingredient listed?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Gymnema Sylvestre is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Gymnema Sylvestre’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Gymnema Sylvestre'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 12 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.
Gymnema 12 references
- Shanmugasundaram ER, Rajeswari G, Baskaran K, et al. Use of Gymnema sylvestre leaf extract in the control of blood glucose in insulin-dependent diabetes mellitus. J Ethnopharmacol 1990;30:281-94. PubMed
- Baskaran K, Kizar Ahamath B, Radha Shanmugasundaram K, Shanmugasundaram ER. Antidiabetic effect of leaf extract from Gymnema sylvestre in non-insulin-dependent diabetes mellitus patients. J Ethnopharmacol 1990;30:295-300.
- Kamble B, Gupta A, Moothedath I, Khatal L, Janrao S, Jadhav A, et al. Effects of Gymnema sylvestre extract on the pharmacokinetics and pharmacodynamics of glimepiride in streptozotocin induced diabetic rats. Chem Biol Interact. 2016;245:30-8. PubMed
- Tiwari P, Mishra BN, Sangwan NS. Phytochemical and pharmacological properties of Gymnema sylvestre: an important medicinal plant. Biomed Res Int. 2014; 2014:830285.
- Fabio GD, Romanucci V, De Marco A, Zarrelli A. Triterpenoids from Gymnema sylvestre and their pharmacological activities. Molecules. 2014;19(8):10956-81. PubMed
- Shiyovich A, Sztarkier I, Nesher L. Toxic hepatitis induced by Gymnema sylvestre, a natural remedy for type 2 diabetes mellitus. Am J Med Sci. 2010;340(6):514-7. PubMed
- Zuniga LY, Gonzalez-Ortiz M, Martinez-Abundis E. Effect of gymnema sylvestre administration on metabolic syndrome, insulin sensitivity, and insulin secretion. J Med Food. 2017 Aug;20(8):750-54.
- Rammohan B, Samit K, Chinmoy D, et al. Human cytochrome P450 enzyme modulation by gymnema sylvestre: a predictive safety evaluation by LC-MS/MS. Pharmacogn Mag. 2016 Jul;12(Suppl 4):S389-S394.
- Vaghela M, Sahu N, Kharkar P, Pandita N. In vivo pharmacokinetic interaction by ethanolic extract of gymnema sylvestre with CYP2C9 (tolbutamide), CYP3A4 (amlodipine) and CYP1A2 (phenacetin) in rats. Chem Biol Interact. 2017 Dec 25;278:141-151. PubMed
- Vaghela M, Iyer K, Pandita N. In vitro inhibitory effect of gymnema sylvestre extracts and total gymnemic acids fraction on select cytochrome P450 activities in rat liver microsomes. Eur J Drug Metab Pharmacokinet. 2017 Oct 10. PubMed
- Gaytán Martínez LA, Sánchez-Ruiz LA, Zuñiga LY, González-Ortiz M, Martínez-Abundis E. Effect of Gymnema sylvestre administration on glycemic control, insulin secretion, and insulin sensitivity in patients with impaired glucose tolerance. J Med Food. 2021;
- Philips CA, Theruvath AH, Ravindran R. Toxic hepatitis-associated aplastic anaemia after dual homeopathic remedies and Gymnema sylvestre use. BMJ Case Rep 2022;15(3):e247867. PubMed
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DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
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