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.
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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
This product contains 4 active ingredients, all forms of vitamin E: vitamin E itself, tocotrienols, D-gamma-tocopherol, and other tocopherols. Tocotrienols and tocopherols are different chemical forms of vitamin E, each with a slightly different role in your body as an antioxidant.
The softgel capsule also contains inactive ingredients—gelatin, vegetable glycerin, soybean oil, and purified water—that serve as the capsule shell and carrier.
Does it work?
Moderate evidence
Vitamin E is effective for treating vitamin E deficiency and ataxia with vitamin E deficiency (AVED), a rare inherited neurological condition. The evidence is possibly effective for Alzheimer disease, beta-thalassemia, glucose-6-phosphate dehydrogenase (G6PD) deficiency, and intracranial hemorrhage, meaning some research suggests benefit but it's not yet conclusive.
Since all four active ingredients in this product are forms of vitamin E, they share the same effectiveness profile.
How safe is it?
Well-documented data
Vitamin E is generally well tolerated when taken in amounts from food and standard prenatal vitamins. However, high-dose long-term supplements raise concerns: they may increase your bleeding risk, and there's a rare risk of hemorrhagic stroke (bleeding in the brain), particularly in male smokers taking synthetic vitamin E for years.
Serious adverse effects are rare but include bleeding, hemorrhagic stroke, and cardiovascular complications. If you're pregnant, the safety data shows it's possibly safe—amounts from food and prenatal vitamins are fine, but avoid high-dose supplements unless your doctor directs it.
While breastfeeding, normal dietary amounts are safe; however, there's conflicting data on high-dose supplements, so check with your doctor before taking high-dose forms.
Meds to double-check
Moderate interaction found
Before taking this product, check with your doctor or pharmacist if you're on blood thinners or antiplatelet drugs (such as warfarin, aspirin, or clopidogrel)—vitamin E increases your bleeding risk. Also confirm with them if you take medications broken down by CYP3A4 enzymes, chemotherapy drugs like cyclophosphamide or doxorubicin, cyclosporine, selumetinib, or niacin for cholesterol.
Dose and timing matter; your pharmacist can help clarify what's safe for you.
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 supplement is useful if you have vitamin E deficiency or AVED, or if you're exploring it for Alzheimer disease or certain blood disorders based on your doctor's recommendation. If you take blood thinners, antiplatelet drugs (like aspirin), selumetinib, or certain chemotherapy drugs, or if you're on cyclosporine, talk with your pharmacist or doctor before starting—dose adjustments or closer monitoring may be needed.
Anyone on high-dose vitamin E long-term should understand the bleeding risk and discuss it with their 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 1, 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) | 716563284015 |
| Net contents | 100 Softgel(s) |
| Market status | On market |
| Date entered into DSLD | Jun 1, 2012 |
| DSLD ID | 9162 |
| Product type | Vitamin |
| Supplement form | Softgel Capsule |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for 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.
General Statements
Antioxidant with cardiovascular health promoting properties
Made in USA
VITAMIN FORMULAS EST 1960
FDA Statement of Identity
Dietary Supplement
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.
Precautions
WARNING: If you are pregnant or nursing, consult your doctor before use.
Discontinue use and consult your doctor if any adverse reactions occur.
Keep out of reach of children.
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
284a REF 0112
Formula
Contains Soy.
Hi Potency Gamma Tocopherol With Vitamin E
Storage
Store at room temperature. Protect from light.
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 with blood thinners (anticoagulants) and antiplatelet drugs—vitamin E can increase your bleeding risk by interfering with how your blood clots and reducing platelet stickiness. This effect is dose-dependent and becomes a bigger worry at higher doses.
Read the full breakdown — every affected drug type, severity by severity
Vitamin E in this product may also slow how your body breaks down certain medications metabolized by CYP3A4 enzymes, potentially raising their levels in your blood. It can theoretically reduce the effectiveness of some chemotherapy drugs (alkylating agents and antitumor antibiotics that work by generating free radicals), and it may increase cyclosporine levels if you take that immunosuppressant.
There's also a minor interaction with niacin, where vitamin E might blunt niacin's beneficial effect on HDL cholesterol.
Vitamin E carries a specific caution with selumetinib (a cancer drug that already contains vitamin E)—combining them could push your total vitamin E dose into ranges where bleeding risk climbs. Altogether, these interactions span 765 individual medications.
Use the medication checker below to confirm whether any of your prescriptions fall into these categories before you start this supplement.
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
Acetaminophen, Chlorpheniramine, PseudoephedrineAlka-Seltzer PLUS Liquid Gels, Children's Tylenol Cold, Codimal, Comtrex, Extra Strength Tylenol Allergy Sinus, Lorsin +3 more
How Acetaminophen, Chlorpheniramine, 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, Pseudoephedrine interactionAcetaminophen, DextromethorphanTylenol Cough Ex Strength
How Acetaminophen, 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, Dextromethorphan interactionAcetaminophen, Dextromethorphan, Doxylamine, PseudoephedrineVicks NyQuil
How Acetaminophen, Dextromethorphan, Doxylamine, 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, Dextromethorphan, Doxylamine, Pseudoephedrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylephrineConar-A
How Acetaminophen, Dextromethorphan, Guaifenesin, 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, Dextromethorphan, Guaifenesin, Phenylephrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylpropanolamineAnatuss
How Acetaminophen, Dextromethorphan, Guaifenesin, 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, Dextromethorphan, Guaifenesin, Phenylpropanolamine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PseudoephedrineRobitussin Cold, Severe Cold, Suphedrine Cold/Cough
How Acetaminophen, Dextromethorphan, Guaifenesin, 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, Dextromethorphan, Guaifenesin, Pseudoephedrine interactionAcetaminophen, Dextromethorphan, Phenylpropanolamine, PyrilamineTheracaps
How Acetaminophen, Dextromethorphan, Phenylpropanolamine, 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, Dextromethorphan, Phenylpropanolamine, Pyrilamine interactionAcetaminophen, Dextromethorphan, PseudoephedrineAlka-Seltzer PLUS Flu Liquid Gels, Non Aspirin Cold Caps, Tylenol Cold, Tylenol Flu Daytime Ex Strength, Tylenol Flu Ex Strength
How Acetaminophen, 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, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, HydrocodoneAnexsia, Anodynos DHC, Azdone, Co-Gesic, Doucet, Lorcet +9 more
How Acetaminophen, Hydrocodone 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, Hydrocodone interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen 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, Ibuprofen interactionAcetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs
How Acetaminophen, Phenylephrine, Chlorpheniramine 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, Phenylephrine, Chlorpheniramine interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid 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 + Acetylsalicylic Acid interactionAdagrasibKrazati
How Adagrasib 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 + Adagrasib interactionAlfentanilAlfenta
How Alfentanil 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 + Alfentanil interactionAlfuzosinUroxatral
How Alfuzosin 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 + Alfuzosin interactionAliskirenTekturna
How Aliskiren 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 + Aliskiren interactionAlmotriptanAlmogran, Axert
How Almotriptan 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 + Almotriptan interactionAlogliptinNesina
How Alogliptin 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 + Alogliptin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone 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 + Alogliptin, Pioglitazone interactionAlpelisibPiqray
How Alpelisib 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 + Alpelisib interactionAlprazolamNiravam, Xanax
How Alprazolam 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 + Alprazolam interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa 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 + Alteplase, Tpa interactionAltretamineHexalen
How Altretamine interacts with Hi Potency Gamma Tocopherol With Vitamin E — through 1 ingredient. Tap an ingredient for the detail:
Other TocopherolsAlkylating Agents Moderate
Interaction Summary
Theoretically, antioxidant effects of vitamin E might reduce the effectiveness of alkylating agents.
Read the full Other Tocopherols + Altretamine interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide 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 + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide 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 + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAmbrisentanLetairis, Volibris
How Ambrisentan 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 + Ambrisentan interactionAmiodaroneCordarone, Pacerone
How Amiodarone 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 + Amiodarone interactionAmitriptylineElavil
How Amitriptyline 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 + Amitriptyline interactionAmitriptyline, ChlordiazepoxideLimbitrol DS
How Amitriptyline, Chlordiazepoxide 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 + Amitriptyline, Chlordiazepoxide interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine 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 + Amitriptyline, Perphenazine 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.
© 2021 Therapeutic Research Center, LLC