Interactions on record — worth a quick check against your medications. Based on 5 of 7 ingredients. Check your meds →
Dietary supplement

High Volume Sour Green Apple Ingredients & Drug Interactions

by PEScience

Powder Category: Other Combinations
Most serious interaction: Moderate
The interaction bottom line Most serious interaction: Moderate

High Volume Sour Green Apple is a dietary supplement by PEScience with 7 active ingredients. Its ingredients are commonly taken for common cold and immune support, antioxidant support, skin health and collagen formation.Based on those ingredients, 549 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Ferula asafoetida Root Extract, Agmatine Sulfate, Vitamin C. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of High Volume Sour Green Apple by PEScience

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.

From our pharmacy team — supplement deep dive

What’s inside

Partial disclosure
Ingredient Transparency · database check
Partial

Most active ingredients list an amount, but at least one is hidden in a blend or missing.

Why this rating?
  • The label discloses an exact amount for 4 of its 7 active ingredients.
  • “Performance Pump Matrix” is a proprietary blend — the label gives one combined amount (3,750 mg) without saying how much of each component you get.

High Volume Sour Green Apple is a powder containing 7 active ingredients formulated to support athletic performance and circulation. The main active ingredients are vitamin C (which supports immune function and collagen), L-citrulline and taurine (amino acids involved in blood vessel function and energy metabolism), agmatine sulfate (a compound derived from the amino acid arginine), and asafoetida root extract.

The product also contains two ingredients we cannot fully evaluate—Hydromax and NO3-T—as well as a blend labeled "Performance Pump Matrix" whose individual components are listed separately. Inactive ingredients include sweeteners, flavorings, and food colorants.

Does it work?

Moderate evidence
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Moderate

Some clinical evidence supports this product's ingredients for its stated purpose, but it isn't conclusive.

Why this rating?
  • The label markets this product for: muscle pump and exercise performance.
  • We looked for evidence on: Athletic performance, Exercise-induced muscle damage, Exercise-induced muscle soreness, blood flow, nitric oxide, vasodilation — and 1 related terms.
  • The strongest evidence on file: L-citrulline is rated "Possibly Effective" for Athletic performance (Natural Medicines).
  • Also on file: Vitamin C is rated "Insufficient Reliable Evidence To Rate" for Athletic performance, Exercise-induced muscle damage.
  • Also on file: Taurine is rated "Insufficient Reliable Evidence To Rate" for Athletic performance, Exercise-induced muscle soreness.

Vitamin C is effective for preventing vitamin C deficiency and possibly effective for anemia of chronic disease, atrial fibrillation, cataracts, and exercise-induced respiratory infections. L-citrulline is possibly effective for athletic performance but possibly ineffective for sarcopenia, with insufficient evidence for heart failure, cardiovascular disease, diabetes, and Reye syndrome.

Taurine is possibly effective for hepatitis and congestive heart failure but possibly ineffective for weight loss. Agmatine, asafoetida, Hydromax, and NO3-T have insufficient or no evidence of effectiveness in the data we hold.

No established evidence supports the overall product for the claims athletes typically make about pre-workout supplements.

The evidence, ingredient by ingredient Vitamin C L-citrulline Agmatine Taurine Asafoetida

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 5 of the 5 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 5 of 5.
  • General safety write-ups exist for 5 of 5.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Vitamin C is generally well tolerated at normal dietary and supplement doses. At higher doses above 2 grams daily, it can cause abdominal cramps, heartburn, osmotic diarrhea, nausea, and kidney stones in susceptible people; avoid high-dose supplements unless directed by your doctor.

L-citrulline and taurine are generally well tolerated short-term in healthy adults, though long-term safety is not fully studied; the most common side effects are gastrointestinal (heartburn, diarrhea, stomach discomfort). Agmatine seems well tolerated short-term but carries limited long-term safety data.

Asafoetida in large amounts may cause swelling of the lips, flatulence, diarrhea, headache, or convulsions. For pregnancy and breastfeeding: vitamin C at normal dietary amounts is likely safe, but avoid high-dose supplements unless advised by your doctor.

L-citrulline and agmatine lack sufficient safety data—the facts advise against use during pregnancy and breastfeeding. Taurine is likely safe in pregnancy.

Asafoetida is considered likely unsafe in pregnancy and unsafe while breastfeeding. Talk with your doctor or pharmacist about whether this product is appropriate for you during pregnancy or while nursing.

Side effects, ingredient by ingredient Vitamin C L-citrulline Agmatine Taurine Asafoetida

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 5 of the 5 matched ingredients can interact with medications — Asafoetida, Vitamin C, Taurine, L-citrulline, Agmatine.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs; cancer treatments; diabetes medications; lithium.
  • For scale: 549 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Before you start, check with your doctor or pharmacist if you take estrogens or hormonal birth control (vitamin C may raise their levels), blood thinners or antiplatelet drugs like warfarin or aspirin (vitamin C at high doses and asafoetida may reduce effectiveness or increase bleeding risk), blood pressure medications (L-citrulline, taurine, agmatine, and asafoetida may add to their effect), diabetes medications (agmatine may lower blood sugar further), lithium for bipolar disorder (taurine may increase its levels), chemotherapy drugs, thyroid medication, or the HIV medication indinavir. These interactions are documented as moderate severity.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glancePartially disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.

This pre-workout powder is aimed at athletes looking to support blood flow and exercise performance through its amino acids and vitamin C. If you take birth control, blood thinners, blood pressure medications, diabetes medications, chemotherapy, or thyroid medication, check your exact prescriptions with the tool on this page before starting.

L-citrulline and taurine have some evidence for athletic benefit, but most ingredients lack strong proof of effectiveness for that purpose. Talk it over with your doctor or pharmacist before adding it, especially if you're pregnant, nursing, or take any regular medications.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 5 of 7 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Oct 24, 2023.

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

At a glance

General information

Key facts about High Volume Sour Green Apple, straight from the product label.

Brand PEScience
Barcode (UPC) 004232289101
Net contents 8.9 Fluid Ounce(s); 252 Gram(s)
Market status On market
Date entered into DSLD Oct 24, 2023
DSLD ID 297403
Product type Other Combinations
Supplement form Powder
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years), Women (not pregnant or lactating)
From the label
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 High Volume Sour Green Apple by PEScience, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
7 Gram(s)
Maximum serving Sizes:
14 Gram(s)
Servings per container
18
UPC/BARCODE
004232289101
IngredientAmount% DV
Vitamin C250 mg280%
L-Citrulline4000 mg--
Taurine0 NP--
Agmatine Sulfate1000 mg--
Performance Pump Matrix3750 mg--
Hydromax0 NP--
Ferula asafoetida Root Extract0 NP--
NO3-T2000 mg--

Other ingredients: Natural & Artificial Flavors, Citric Acid, Silicon Dioxide, Acesulfame Potassium, Sucralose, Turmeric Extract, Spirulina Extract

Tap any ingredient to jump to its full detail below.

Label statements
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formula

High Volume is formulated for PUMP, centered around arginine nitrate and L-citrulline (Equivalent citrulline content of 8g of L-Citrulline-l-malate). As a caffeine-free pre-workout, High Volume can be taken solo, or stacked with a thermogenic product like alphamine for a Thermo-Pump stack!

Powerful Pump formula

Supreme nitric oxide matrix

Sour green apple Naturally & artificially flavored

36 loaded scoops

Arginine nitrate L-Citrulline Agmatine sulfate Ferulic acid HydroMax

Suggested/Recommended/Usage/Directions

Directions: for users 160 lbs or less, consume 1 scoop mixed in 8 oz of water 30 minutes prior to training. For users over 160 lbs, consume 1-2 scoops mixed in 8-12 oz of water 30 minutes prior to training. Do not exceed 2 scoops per serving. Use within 3 months of opening.

Shake tube before each use.

Precautions

Warning: this product is only intended for healthy adults 18 years of age or older.

Do not use if you are taking erectile dysfunction medication. Do not take additional nitrates in the form of medication or dietary supplements along with this product. Before using this product consult with your physician, especially if you are using any prescription or over the counter medication or if you have or suspect you have any pre-existing medical condition including but not limited to: high or low blood pressure, cardiac arrhythmia, stroke, heart, liver, kidney or thyroid disease, seizure disorder, psychiatric disease, diabetes, difficulty urinating due to prostate enlargement or if you are taking a MAOI (monoamine oxidase inhibitor) or any other medication. Discontinue use and consult your health care professional if you experience any adverse reaction to this product. Do not use if pregnant or nursing. Discontinue use 2 weeks prior to surgery.

Do not use if safety seal is broken or missing.

Keep out of reach of children.

Storage

Store in a cool dry place.

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.

Formulation

Caffeine free

FDA Statement of Identity

Dietary Supplement

Brand IP Statement(s)

NO3T Nitrate Technology NO3-T.com/patents

See for yourself

High Volume Sour Green Apple by PEScience label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

What’s inside

The Ingredients in High Volume Sour Green Apple by PEScience

These are the 7 active ingredients this product is made of. Select any to open its full monograph.

Serving size7 Gram(s) Dosage formPowder Servings per container18 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 C

Interacts with
207 drugs
250 mg per serving

Vitamin C (ascorbic acid) is an essential nutrient your body needs but cannot make, so you must get it from food or supplements. It's important for im...

Vitamin C monograph & interactions

L-Citrulline

Interacts with
178 drugs
4000 mg per serving

L-citrulline is an amino acid that the body turns into L-arginine to help make nitric oxide, which relaxes blood vessels and may improve blood flow. I...

L-Citrulline monograph & interactions

Agmatine Sulfate

Interacts with
258 drugs
1000 mg per serving

Agmatine is a compound your body makes from the amino acid arginine, and it is sold mainly as a workout and 'pump' supplement. Human evidence for most...

Agmatine Sulfate monograph & interactions

Performance Pump Matrix

3750 mg per serving

NO3-T

2000 mg per serving Form: Arginine Nitrate

Other (inactive) ingredients: Natural & Artificial Flavors, Citric Acid, Silicon Dioxide, Acesulfame Potassium, Sucralose, Turmeric Extract, Spirulina Extract. These complete the product’s ingredient list but are not active constituents.

Interaction report

High Volume Sour Green Apple by PEScience Drug Interactions

Want to check YOUR meds against High Volume Sour Green Apple?

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 checker
549Drugs
477 Moderate 72 Minor

Ingredients driving the most interactions

Vitamin C 207
Taurine 173

Each ingredient & the kinds of drugs it affects

For each ingredient in High Volume Sour Green Apple with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.

Ferula asafoetida Root Extract2 drug types · 289 drugs

Anticoagulant/Antiplatelet Drugs

Theoretically, asafoetida might increase the risk of bleeding when used concomitantly with anticoagulant/antiplatelet drugs. Some anticoagulant/antiplatelet drugs include aspirin, clopidogrel (Plavix), diclofenac (Voltaren, Cataflam, others), ibuprofen (Advil, Motrin, others), naproxen (Anaprox, Naprosyn, others), dalteparin (Fragmin), enoxaparin (Lovenox), heparin, warfarin (Coumadin), and others.

Likelihood Possible Evidence D
Antihypertensive Drugs

Evidence from animal research suggests that asafoetida has hypotensive effects. Theoretically, concomitant use may increase therapeutic effects of antihypertensive therapy due to hypotensive activity of asafoetida. Some antihypertensive drugs include captopril (Capoten), enalapril (Vasotec), losartan (Cozaar), valsartan (Diovan), diltiazem (Cardizem), Amlodipine (Norvasc), hydrochlorothiazide (HydroDiuril), furosemide (Lasix), and many others.

Likelihood Possible Evidence D

Agmatine Sulfate2 drug types · 258 drugs

Antidiabetes Drugs

Theoretically, agmatine might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Animal and in vitro research suggest that agmatine has mild hypoglycemic effects.

Likelihood Possible Evidence D
Antihypertensive Drugs

Theoretically, agmatine might increase the risk of hypotension when taken with antihypertensive drugs.
Animal research suggests that agmatine can modestly decrease heart rate and blood pressure.

Likelihood Possible Evidence D

Vitamin C13 drug types · 207 drugs

Alkylating Agents

Theoretically, antioxidant effects of vitamin C might reduce the effectiveness of alkylating agents.
The use of antioxidants like vitamin C during chemotherapy is controversial. There is concern that antioxidants could reduce the activity of chemotherapy drugs that generate free radicals, such as cyclophosphamide, chlorambucil, carmustine, busulfan, and thiotepa. In contrast, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that could interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as vitamin C have on chemotherapy.

Likelihood Possible Evidence D
Aluminum

Vitamin C can increase the amount of aluminum absorbed from aluminum compounds.
Research in animals and humans shows that vitamin C increases aluminum absorption, theoretically by chelating aluminum and keeping it in solution where it is available for absorption. In people with normal renal function, urinary excretion of aluminum will likely increase, making aluminum retention and toxicity unlikely. Patients with renal failure who take aluminum-containing compounds such as phosphate binders should avoid vitamin C supplements in doses above the recommended dietary allowances.

Likelihood Probable Evidence B
Antitumor Antibiotics

Theoretically, the antioxidant effects of vitamin C might reduce the effectiveness of antitumor antibiotics.
The use of antioxidants like vitamin C during chemotherapy is controversial. There is concern that antioxidants could reduce the activity of chemotherapy drugs which generate free radicals, such as doxorubicin. In contrast, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that could interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effects, if any, antioxidants such as vitamin C have on chemotherapy.

Likelihood Possible Evidence D
Estrogens

Vitamin C might increase blood levels of estrogens.
Increases in plasma estrogen levels of up to 55% occur under some circumstances when vitamin C is taken concurrently with oral contraceptives or hormone replacement therapy, including topical products. It is suggested that vitamin C prevents oxidation of estrogen in the tissues, regenerates oxidized estrogen, and reduces sulfate conjugation of estrogen in the gut wall. When tissue levels of vitamin C are high, these processes are already maximized and supplemental vitamin C does not have any effect on estrogen levels. Increases in plasma estrogen levels may occur when patients who are deficient in vitamin C take supplements. Monitor these patients for estrogen-related side effects.

Likelihood Probable Evidence B
Fluphenazine (Prolixin)

Theoretically, vitamin C might decrease levels of fluphenazine.
In one patient there was a clinically significant decrease in fluphenazine levels when vitamin C (500 mg twice daily) was started. The mechanism is not known, and there is no further data to confirm this interaction.

Likelihood Possible Evidence D
Indinavir (Crixivan)

Vitamin C can modestly reduce indinavir levels.
One pharmacokinetic study shows that taking vitamin C 1 gram orally once daily along with indinavir 800 mg orally three times daily reduces the area under the concentration-time curve of indinavir by 14%. The mechanism of this interaction is unknown, but it is unlikely to be clinically significant in most patients. The effect of higher doses of vitamin C on indinavir levels is unknown.

Likelihood Probable Evidence B
Levothyroxine (Synthroid, Others)

Vitamin C can increase levothyroxine absorption.
Two clinical studies in adults with poorly controlled hypothyroidism show that swallowing levothyroxine with a glass of water containing vitamin C 500-1000 mg in solution reduces thyroid stimulating hormone (TSH) levels and increases thyroxine (T4) levels when compared with taking levothyroxine alone. This suggests that vitamin C increases the oral absorption of levothyroxine, possibly due to a reduction in pH.

Likelihood Probable Evidence B
Warfarin (Coumadin)

High-dose vitamin C might reduce the levels and effectiveness of warfarin.
Vitamin C in high doses may cause diarrhea and possibly reduce warfarin absorption. There are reports of two people who took up to 16 grams daily of vitamin C and had a reduction in prothrombin time. Lower doses of 5-10 grams daily can also reduce warfarin absorption. In many cases, this does not seem to be clinically significant. However, a case of warfarin resistance has been reported for a patient who took vitamin C 500 mg twice daily. Cessation of vitamin C supplementation resulted in a rapid increase in international normalized ratio (INR). Tell patients taking warfarin to avoid taking vitamin C in excessively high doses (greater than 10 grams daily). Lower doses may be safe, but the anticoagulation activity of warfarin should be monitored. Patients who are stabilized on warfarin while taking vitamin C should avoid adjusting vitamin C dosage to prevent the possibility of warfarin resistance.

Likelihood Possible Evidence D
Acetaminophen (Tylenol, Others)

High-dose vitamin C might slightly prolong the clearance of acetaminophen.
A small pharmacokinetic study in healthy volunteers shows that taking high-dose vitamin C (3 grams) 1.5 hours after taking acetaminophen 1 gram slightly increases the apparent half-life of acetaminophen from around 2.3 hours to 3.1 hours. Ascorbic acid competitively inhibits sulfate conjugation of acetaminophen. However, to compensate, elimination of acetaminophen glucuronide and unconjugated acetaminophen increases. This effect is not likely to be clinically significant.

Likelihood Probable Evidence B
Aspirin

Acidification of the urine by vitamin C might increase aspirin levels.
It has been suggested that acidification of the urine by vitamin C could increase reabsorption of salicylates by the renal tubules, and increase plasma salicylate levels. However, short-term use of up to 6 grams daily of vitamin C does not seem to affect urinary pH or salicylate excretion, suggesting this interaction is not clinically significant.

Likelihood Possible Evidence B
Choline Magnesium Trisalicylate (Trilisate)

Acidification of the urine by vitamin C might increase choline magnesium trisalicylate levels.
It has been suggested that acidification of the urine by vitamin C could increase reabsorption of salicylates by the renal tubules, and increase plasma salicylate levels. However, short-term use of up to 6 grams daily of vitamin C does not seem to affect urinary pH or salicylate excretion, suggesting this interaction probably is not clinically significant.

Likelihood Possible Evidence B
Niacin

Vitamin C might decrease the beneficial effects of niacin on high-density lipoprotein (HDL) cholesterol levels.
A combination of niacin and simvastatin (Zocor) effectively raises HDL cholesterol levels in patients 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% in patients with coronary disease. It is not known whether this adverse effect is due to a single antioxidant such as vitamin C, or to the combination. It also is not known whether it will occur in other patient populations.

Likelihood Possible Evidence A
Salsalate (Disalcid)

Acidification of the urine by vitamin C might increase salsalate levels.
It has been suggested that acidification of the urine by vitamin C could increase reabsorption of salicylates by the renal tubules, and increase plasma salicylate levels. However, short-term use of up to 6 grams/day vitamin C does not seem to affect urinary pH or salicylate excretion, suggesting this interaction probably is not clinically significant.

Likelihood Possible Evidence B

L-Citrulline2 drug types · 178 drugs

Antihypertensive Drugs

Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
L-citrulline is converted to L-arginine, which can increase nitric oxide and cause vasodilation. However, a meta-analysis of 5 small clinical studies suggests that taking L-citrulline 3-6 grams daily for 1-8 weeks does not lower blood pressure when compared with control.

Likelihood Possible Evidence B
Phosphodiesterase-5 Inhibitors

Theoretically, concurrent use of phosphodiesterase-5 (PDE-5) inhibitors and L-citrulline might result in additive vasodilation.
L-citrulline is converted to L-arginine, which can increase nitric oxide and cause vasodilation. Theoretically, taking L-arginine with PDE-5 inhibitors might have additive vasodilatory and hypotensive effects. However, in studies evaluating the combined use of L-arginine and sildenafil for erectile dysfunction, hypotension was not reported.

Likelihood Possible Evidence D

Taurine2 drug types · 173 drugs

Antihypertensive Drugs

Theoretically, taurine might increase the risk of hypotension when taken with antihypertensive drugs.
Some clinical evidence suggests that taurine can reduce both systolic and diastolic blood pressure.

Likelihood Probable Evidence D
Lithium

Theoretically, taurine might reduce excretion and increase plasma levels of lithium.
Taurine is thought to have diuretic properties, which might reduce the excretion of lithium.

Likelihood Probable Evidence D
The maker

Brand information

Manufacturer and brand details for High Volume Sour Green Apple, from the product label.

PEScience

See all PEScience products
Name
PEScience
Street Address
3665 East Bay Dr #155
City
Largo
State
FL
ZipCode
33771
Phone Number
888-885-0195
Web Address
PESCIENCE.com
Pharmacist Counseling Corner

High Volume Sour Green Apple by PEScience: Common Questions

Does High Volume Sour Green Apple by PEScience interact with any medications?
Yes. Based on its ingredients, High Volume Sour Green Apple has a known interaction with 549 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
High Volume Sour Green Apple contains 7 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Is this safe if I'm taking birth control pills?
Vitamin C in this product may increase blood levels of estrogen from birth control by up to 55% under some circumstances, which could affect how well it prevents pregnancy. Talk with your doctor or pharmacist before using this supplement if you're on hormonal contraception—they can advise whether it's safe for you or if you need any dosage changes.
Can I take this with my blood pressure medicine?
L-citrulline, taurine, agmatine, and asafoetida in this product may all add to the blood-pressure-lowering effect of your medication and increase the risk of low blood pressure. Check with your doctor or pharmacist before starting—they'll want to monitor you or adjust your doses if you do use it together.
What are the main side effects I should watch for?
At normal doses, the most common side effects are gastrointestinal—heartburn, diarrhea, nausea, and stomach discomfort from the amino acids. Vitamin C at higher doses can also cause abdominal cramps and kidney stones in people prone to them. If side effects don't settle, stop and talk with your pharmacist.
Is it safe to use if I'm pregnant or breastfeeding?
Vitamin C at normal amounts is likely safe in pregnancy, but L-citrulline and agmatine lack enough safety data and are advised against during pregnancy and breastfeeding. Asafoetida is considered unsafe while nursing. Talk with your doctor or pharmacist about whether this product is right for you during pregnancy or while nursing.
Does this actually improve athletic performance?
L-citrulline is possibly effective for athletic performance, and taurine has been studied for heart function and endurance. The other ingredients lack strong evidence of effectiveness for exercise. This is not a proven performance supplement, and results vary by person.
What is L-citrulline and what does it do?
L-citrulline is an amino acid your body converts to arginine, which widens blood vessels and may improve blood flow. It's included in pre-workout products for that reason, though the evidence that it improves exercise performance is modest.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.

High Volume Sour Green Apple label
Go deeper

The Full Monographs Behind High Volume Sour Green Apple’s Ingredients

Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.

Sources

Sources & How We Checked

High Volume Sour Green Apple'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.

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 87 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 C 51 references
  1. McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
  2. Back DJ, Breckenridge AM, MacIver M, et al. Interaction of ethinyloestradiol with ascorbic acid in man. Br Med J (Clin Res Ed) 1981;282:1516.
  3. Morris JC, Beeley L, Ballantine N. Interaction of ethinyloestradiol with ascorbic acid in man [letter]. Br Med J (Clin Res Ed) 1981;283:503.
  4. Labriola D, Livingston R. Possible interactions between dietary antioxidants and chemotherapy. Oncology 1999;13:1003-8.
  5. Dwyer JH, Merz NB, Shirocre AM, et al. Progression of early atherosclerosis and intake of vitamin C and vitamin E from supplements and food. The Los Angeles Atherosclerosis Study. 41st Annual Conference on Cardiovascular Disease Epidemiology and Prevent
  6. Levine M, Rumsey SC, Daruwala R, et al. Criteria and recommendations for vitamin C intake. JAMA 1999;281:1415-23. PubMed
  7. Hansten PD, Horn JR. Drug Interactions Analysis and Management. Vancouver, WA: Applied Therapeutics Inc., 1997 and updates.
  8. Segal S, Kaminski S. Drug-nutrient interactions. American Druggist 1996 Jul;42-8.
  9. Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids. Washington, DC: National Academy Press, 2000. Available at: http://www.nap.edu/books/0309069351/html/.
  10. Houston JB, Levy G. Drug biotransformation interactions in man VI: Acetaminophen and ascorbic acid. J Pharm Sci 1976;65:1218-21. PubMed
  11. Brown BG, Zhao XQ, Chait A, et al. Simvastatin and niacin, antioxidant vitamins, or the combination for the prevention of coronary disease. N Engl J Med 2001;345:1583-93. DOI
  12. Rosenthal G. Interaction of ascorbic acid and warfarin. JAMA 1971;215:1671. DOI
  13. Hume R, Johnstone JM, Weyers E. Interaction of ascorbic acid and warfarin. JAMA 1972;219:1479. DOI
  14. Smith EC, Skalski RJ, Johnson GC, Rossi GV. Interaction of ascorbic acid and warfarin. JAMA 1972;221:1166. DOI
  15. Traxer O, Huet B, Poindexter J, et al. Effect of ascorbic acid consumption on urinary stone risk factors. J Urol 2003;170:397-401.. PubMed
  16. Domingo JL, Gomez M, Llobet JM, Richart C. Effect of ascorbic acid on gastrointestinal aluminum absorption (letter). Lancet 1991;338:1467.
  17. Domingo JL, Gomez M, Llobet JM, Corbella J. Influence of some dietary constituents on aluminum absorption and retention in rats. Kidney Int 1991;39:598-601. PubMed
  18. Partridge NA, Regnier FE, White JL, Hem SL. Influence of dietary constituents on intestinal absorption of aluminum. Kidney Int 1989;35:1413-7. PubMed
  19. Mc Leod DC, Nahata MC. Inefficacy of ascorbic acid as a urinary acidifier (letter). N Engl J Med 1977;296:1413. DOI
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L-citrulline 8 references
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Taurine 21 references
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Agmatine 3 references
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Asafoetida 4 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

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