Hi Potency Gamma Tocopherol With Vitamin E Ingredients & Drug Interactions
by Bronson Laboratories
What is this page for?
First and foremost: checking Hi Potency Gamma Tocopherol With Vitamin E 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
Hi Potency Gamma Tocopherol With Vitamin E is a dietary supplement by Bronson Laboratories with 4 active ingredients. Its ingredients are commonly taken for general antioxidant support, skin and hair care, heart health.Based on those ingredients, 764 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Vitamin E. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Hi Potency Gamma Tocopherol With Vitamin E by Bronson Laboratories
Ask about any prescription or over-the-counter medication and we check it for interactions with Hi Potency Gamma Tocopherol With Vitamin E by Bronson Laboratories — and tell you which ingredient is responsible.
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HelloPharmacist Scorecard of Hi Potency Gamma Tocopherol With Vitamin E by Bronson Laboratories
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
Hi Potency Gamma Tocopherol With Vitamin E contains 4 active ingredients, all forms of vitamin E: vitamin E itself, tocotrienols, D-gamma-tocopherol, and other tocopherols. These are fat-soluble compounds that work as antioxidants in your body.
The product also contains inactive ingredients (gelatin, vegetable glycerin, soybean oil, and purified water) as part of the softgel capsule.
Does it work?
Moderate evidence
The evidence we have shows vitamin E is effective for vitamin E deficiency and for ataxia with vitamin E deficiency (AVED)—a rare genetic disorder where your body can't absorb or transport vitamin E properly. It's possibly effective for Alzheimer disease, beta-thalassemia, glucose-6-phosphate dehydrogenase (G6PD) deficiency, and intracranial hemorrhage, though the proof is less solid for those uses.
For other purposes, the evidence isn't established in our data.
How safe is it?
Well-documented data
Vitamin E is generally well tolerated at the amounts you get from food. High-dose long-term supplements, though, may raise your risk of bleeding and other harms.
Rare serious side effects from high doses include bleeding, hemorrhagic stroke (bleeding in the brain), and cardiovascular problems. There's particular concern about stroke risk in male smokers taking synthetic vitamin E for years, though other studies of shorter duration haven't shown the same signal.
In pregnancy, vitamin E from food and prenatal vitamins is fine, but avoid high-dose supplements unless your doctor directs you to. While breastfeeding, normal dietary amounts are safe, but check with your doctor before taking high-dose supplements.
The data shows conflicting safety ratings for breastfeeding—one entry says "likely safe" and another says "possibly unsafe"—so a conversation with your doctor or pharmacist is important if you're nursing.
Meds to double-check
Moderate interaction found
Before taking this product, double-check with your doctor or pharmacist if you take blood thinners or antiplatelet drugs (like warfarin, aspirin, or clopidogrel)—vitamin E increases bleeding risk at higher doses. Also flag any medications processed through your liver (your doctor or pharmacist can identify these), chemotherapy drugs, cyclosporine, selumetinib, or niacin.
High-dose vitamin E may reduce how well some of these work or change their levels in your body.
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 confirmed vitamin E deficiency or AVED, or if your doctor recommends it for Alzheimer disease, beta-thalassemia, or G6PD deficiency. If you take any blood thinners, heart medications, chemotherapy, immunosuppressants, or niacin, or if you're pregnant or breastfeeding, talk with your doctor or pharmacist before starting—the interactions and safety concerns are real at higher doses.
Check the search tool on this page with your exact medications, then confirm with your own healthcare provider.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 4 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 25, 2012.
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 Hi Potency Gamma Tocopherol With Vitamin E, straight from the product label.
| Brand | Bronson Laboratories |
|---|---|
| Barcode (UPC) | 716563284022 |
| Net contents | 250 Softgel(s) |
| Market status | On market |
| Date entered into DSLD | Jun 25, 2012 |
| DSLD ID | 9164 |
| Product type | Vitamin |
| Supplement form | Softgel Capsule |
| Dietary claims / uses | 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 Hi Potency Gamma Tocopherol With Vitamin E by Bronson Laboratories, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Vitamin E | 200 IU | 667% |
| Tocotrienols | 2 mg | -- |
| D-Gamma-Tocopherol | 200 mg | -- |
| Other Tocopherols | 78 mg | -- |
Other ingredients: Gelatin, Vegetable Glycerin, Soybean Oil, purified 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.
Storage
Store at room temperature. Protect from light.
Precautions
Keep out of reach of children.
WARNING: If you are pregnant or nursing, consult your doctor before use.
Discontinue use and consult your doctor if any adverse reactions occur.
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
Made in USA
Antioxidant with cardiovascular health promoting properties
VITAMIN FORMULAS EST 1960
FDA Statement of Identity
Dietary Supplement
General
284b REF 0112
Formula
Contains Soy.
Suggested/Recommended/Usage/Directions
Directions: As a dietary supplement for adults, 1 softgel daily, preferably with a meal, or as directed by a health professional.
Brand IP Statement(s)
Discover the Bronson Difference(TM)
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Hi Potency Gamma Tocopherol With Vitamin E by Bronson Laboratories 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 Hi Potency Gamma Tocopherol With Vitamin E by Bronson Laboratories
These are the 4 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 & interactionsTocotrienols
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...
Tocotrienols monograph & interactionsD-Gamma-Tocopherol
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...
D-Gamma-Tocopherol monograph & interactionsOther 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...
Other Tocopherols monograph & interactionsOther (inactive) ingredients: Gelatin, Vegetable Glycerin, Soybean Oil, Purified Water. These complete the product’s ingredient list but are not active constituents.
Hi Potency Gamma Tocopherol With Vitamin E by Bronson Laboratories Drug Interactions
HelloPharmacist Interaction Report
Hi Potency Gamma Tocopherol With Vitamin E by Bronson Laboratories does interact with medications—through its vitamin E, tocotrienols, D-gamma-tocopherol, and other tocopherols content.
The most serious concern is a moderate-severity risk of increased bleeding with blood thinners (anticoagulants) and antiplatelet drugs, because vitamin E interferes with clotting factors and platelet function.
Read the full breakdown — every affected drug type, severity by severity
Vitamin E in this product also interacts moderately with drugs processed by your liver's CYP3A4 enzyme system—the supplement may speed up how your body clears these medications, potentially making them less effective. It can reduce the effectiveness of certain chemotherapy drugs, including alkylating agents (like cyclophosphamide, chlorambucil, carmustine, busulfan, and thiotepa) and antitumor antibiotics (like doxorubicin).
Cyclosporine (an immunosuppressant) is another concern; a specific form of vitamin E can increase how much cyclosporine your body absorbs. If you take selumetinib (Koselugo), combining it with this supplement could push your total daily vitamin E dose beyond safe limits and raise bleeding risk.
There's also a minor interaction with niacin—vitamin E may weaken niacin's ability to raise HDL (good) cholesterol. Altogether, these interactions span 765 individual medications.
Check your exact prescriptions and any over-the-counter blood thinners with your doctor or pharmacist before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Hi Potency Gamma Tocopherol With Vitamin E?
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 Hi Potency Gamma Tocopherol With Vitamin E interact with 764 drugs. Click any drug to see the details.
1 of the 4 ingredients in Hi Potency Gamma Tocopherol With Vitamin E interact with drugs. Each result below shows which ingredient is responsible. Vitamin E
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Other Tocopherols + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Other Tocopherols + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acalabrutinib interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Other Tocopherols + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Other Tocopherols + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsAnticoagulant/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 Other Tocopherols + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + 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 Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Chlorpheniramine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR
How Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylpropanolamineAlumadrine, Conex, Sinadrin Max Strength, Sinulin
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Chlorpheniramine, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, OpiumHista-Derfule
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, PhenyltoloxamineNorel Plus
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Phenyltoloxamine interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Other Tocopherols + Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Phenyltoloxamine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Hi Potency Gamma Tocopherol With Vitamin E 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.
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.
Brand information
Manufacturer and brand details for Hi Potency Gamma Tocopherol With Vitamin E, from the product label.
Bronson Laboratories
- Name
- Bronson Laboratories
- City
- Lindon
- State
- UT
- ZipCode
- 84042
Hi Potency Gamma Tocopherol With Vitamin E by Bronson Laboratories: Common Questions
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The Full Monographs Behind Hi Potency Gamma Tocopherol With Vitamin E’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Hi Potency Gamma Tocopherol With Vitamin E'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 64 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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Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
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