Homocysteine Regulators Ingredients & Drug Interactions
by NOW
What is this page for?
First and foremost: checking Homocysteine Regulators 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
Homocysteine Regulators is a dietary supplement by NOW with 4 active ingredients. Its ingredients are commonly taken for preventing neural tube birth defects, treating or preventing folate deficiency, supporting pregnancy health.Based on those ingredients, 238 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Vitamin B6, Folic Acid, Vitamin B12. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Homocysteine Regulators by NOW
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HelloPharmacist Scorecard of Homocysteine Regulators by NOW
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
NOW Homocysteine Regulators has 4 active ingredients. Folic acid (vitamin B9) helps regulate homocysteine and supports cell division and DNA synthesis.
Vitamin B12 works alongside folate and is essential for nerve function and red blood cell formation. Vitamin B6, provided as pyridoxal-5-phosphate (the active form), also helps lower homocysteine levels.
Trimethylglycine (also called betaine) is an amino acid derivative that supports homocysteine metabolism. The capsule also contains inactive ingredients: cellulose, silica, and magnesium stearate, which are common binders and flow agents.
Does it work?
Strong evidence
Folic acid in this product is effective for folate deficiency and likely effective for reducing methotrexate toxicity and preventing neural tube birth defects; it's possibly effective for depression and cognitive impairment. Vitamin B12 is effective for B12 deficiency and certain rare conditions, and possibly effective for canker sores.
Vitamin B6 (pyridoxal-5-phosphate) is effective for B6 deficiency and sideroblastic anemia, and likely effective for high homocysteine levels. The evidence we hold doesn't establish how well trimethylglycine works on its own.
How safe is it?
Well-documented data
Folic acid is generally well tolerated at recommended doses; at higher doses (5 mg daily or more), abdominal cramps, diarrhea, and rash can occur, and at 15 mg daily, confusion, sleep disturbances, and nausea are possible. Vitamin B12 is generally very safe with no upper limit and is well tolerated.
Vitamin B6 is safe at normal amounts from food and standard supplements, but high doses taken over time can damage nerves (sensory neuropathy), especially doses above 1,000 mg daily or total intakes over 1,000 grams. All three are considered safe at recommended prenatal and breastfeeding doses.
However, folic acid use late in pregnancy has been linked in population studies to increased childhood asthma risk, though use before or early in pregnancy has not shown this association. Do not self-treat suspected anemia with folic acid alone, as it can mask pernicious anemia (a B12 deficiency condition) and allow nerve damage to progress undetected.
Meds to double-check
Moderate interaction found
Before taking this product, check with your doctor or pharmacist if you take seizure medications (phenobarbital, phenytoin, or primidone), cancer medications (methotrexate, capecitabine, 5-fluorouracil), the antiparasitic pyrimethamine, blood pressure medications, amiodarone, or metformin for diabetes. High doses of vitamin B6 in this product could interact with several of these.
The bottom line
Scorecard at a glanceFully disclosed formula with clinical evidence supporting its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This product is designed to help regulate homocysteine and may be worth considering if you have elevated levels or a folate or B12 deficiency — but it's not appropriate if you take seizure medications, certain cancer drugs, or the antiparasitic pyrimethamine. If you take blood pressure medications, high-dose B6 may add to their effect.
Talk with your doctor or pharmacist before starting, especially if you're on any prescription medications.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 21, 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 Homocysteine Regulators, straight from the product label.
| Brand | NOW |
|---|---|
| Barcode (UPC) | 733739033055 |
| Net contents | 90 Veg Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Nov 21, 2012 |
| DSLD ID | 14998 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Dairy Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Homocysteine Regulators by NOW, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Folic Acid | 800 mcg | 200% |
| Vitamin B12 | 250 mcg | 4167% |
| Vitamin B6 | 13 mg | 650% |
| from 20 mg Coenzyme Pyridoxal-5-Phosphate | 20 mg | -- |
| Trimethylglycine | 400 mg | -- |
Other ingredients: Cellulose, Silica, Magnesium Stearate
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions
SUGGESTED USAGE: As a dietary supplement for adults, take 1 capsule 1 to 2 times daily, preferably with food.
General Statements
This combination of key B-vitamins may aid the body’s regulation of homocysteine, a potentially harmful byproduct of protein metabolism.*
Please Recycle.
CAPSULE SIZE Made in the USA
CARDIOVASCULAR SUPPORT
Promotes Healthy Heart Function*
For more product information visit www.nowfoods.com/3305
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.
Precautions
Caution: For adults only.
Consult physician if pregnant/nursing, taking medication, or have a medical condition.
Keep out of reach of children.
Do Not Eat Freshness Packet. Keep in Bottle.
Produced in a GMP facility that processes other ingredients containing these allergens.
Storage
Store in a cool, dry place after opening.
Formula
B-6, B-12, Folic Acid and TMG
FDA Statement of Identity
A Dietary Supplement
Formulation
Vegetarian/Vegan
Not manufactured with yeast, wheat, gluten, soy, milk, egg, fish, shellfish or tree nut ingredients.
Seals/Symbols
GMP QUALITY ASSURED
General
CODE 3305T V2
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Homocysteine Regulators by NOW 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 Homocysteine Regulators by NOW
These are the 4 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Vegetarian Capsule(s) Dosage formCapsule 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.
Folic Acid
Interacts with40 drugs
Folic acid is the man-made form of vitamin B9 and is one of the most well-studied supplements, especially for preventing serious birth defects when ta...
Folic Acid monograph & interactionsVitamin B12
Interacts with20 drugs
Vitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very h...
Vitamin B12 monograph & interactionsVitamin B6
Interacts with210 drugs
Vitamin B6 (pyridoxine) is an essential water-soluble vitamin that your body needs for metabolism, brain function, and making red blood cells. It is b...
Vitamin B6 monograph & interactionsTrimethylglycine
Other (inactive) ingredients: Cellulose, Silica, Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.
Homocysteine Regulators by NOW Drug Interactions
HelloPharmacist Interaction Report
NOW Homocysteine Regulators contains folic acid, vitamin B12, and vitamin B6 (as pyridoxal-5-phosphate), all of which have documented interactions with medications.
The most serious interactions involve folic acid and seizure medications: folic acid can reverse the effects of phenobarbital and primidone, raising the risk of seizures, and may reduce phenytoin levels, also increasing seizure frequency. Both are Moderate severity.
Read the full breakdown — every affected drug type, severity by severity
Folic acid also interacts with several cancer medications. It may reduce the effectiveness of methotrexate when used together and theoretically could raise toxicity from capecitabine and 5-fluorouracil.
Additionally, folic acid can block the antiparasitic effects of pyrimethamine. Vitamin B6 at high doses may reduce levels of phenobarbital and phenytoin, and theoretically could lower blood pressure when combined with blood pressure medications or increase sun sensitivity with amiodarone — all Moderate severity.
Vitamin B12 has one Minor interaction: metformin may lower B12 levels over time.
We could not check trimethylglycine — no data is on file for it. Check your exact medications with the search tool on this page before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Homocysteine Regulators?
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 Homocysteine Regulators interact with 238 drugs. Click any drug to see the details.
3 of the 4 ingredients in Homocysteine Regulators interact with drugs. Each result below shows which ingredient is responsible. Vitamin B6 Folic Acid Vitamin B12
AcebutololRhotral, Sectral
How Acebutolol interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Acebutolol interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Acetazolamide interactionAliskirenTekturna
How Aliskiren interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Aliskiren interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Ambrisentan interactionAmilorideAmilamont, Midamor
How Amiloride interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Amiloride interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Amiloride, Hydrochlorothiazide interactionAmiodaroneCordarone, Pacerone
How Amiodarone interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAmiodarone (cordarone) Moderate
Interaction Summary
Theoretically, vitamin B6 might increase the photosensitivity caused by amiodarone.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Amiodarone interactionAmlodipineNorliqva
How Amlodipine interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Amlodipine interactionAmlodipine BenzoateKaterzia
How Amlodipine Benzoate interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Amlodipine Benzoate interactionAmlodipine BesilateIstin
How Amlodipine Besilate interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Amlodipine Besilate interactionAmlodipine BesylateNorvasc
How Amlodipine Besylate interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Amlodipine Besylate interactionAmlodipine Besylate, BenazeprilLotrel
How Amlodipine Besylate, Benazepril interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Amlodipine Besylate, Benazepril interactionAmlodipine, CelecoxibConsensi
How Amlodipine, Celecoxib interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Amlodipine, Celecoxib interactionAmmonium ChlorideAmmonium Chloride
How Ammonium Chloride interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Ammonium Chloride interactionAprobarbital, Butabarbital, PhenobarbitalTriple Barbital
How Aprobarbital, Butabarbital, Phenobarbital interacts with Homocysteine Regulators — through 2 ingredients. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphatePhenobarbital (luminal) Moderate
Interaction Summary
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Aprobarbital, Butabarbital, Phenobarbital interactionFolic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Aprobarbital, Butabarbital, Phenobarbital interactionAprocitentanTryvio
How Aprocitentan interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Aprocitentan interactionAspirin, Codeine Phosphate, PhenobarbitalPhenaphen
How Aspirin, Codeine Phosphate, Phenobarbital interacts with Homocysteine Regulators — through 2 ingredients. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphatePhenobarbital (luminal) Moderate
Interaction Summary
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Aspirin, Codeine Phosphate, Phenobarbital interactionFolic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Aspirin, Codeine Phosphate, Phenobarbital interactionAtenololAtenix, Tenormin
How Atenolol interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Atenolol interactionAtenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic
How Atenolol, Chlortalidone interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Atenolol, Chlortalidone interactionAtenolol, ChlorthalidoneTenoretic
How Atenolol, Chlorthalidone interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Atenolol, Chlorthalidone interactionAtropine, Hyoscyamine, PhenobarbitalHypnaldyne
How Atropine, Hyoscyamine, Phenobarbital interacts with Homocysteine Regulators — through 2 ingredients. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphatePhenobarbital (luminal) Moderate
Interaction Summary
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Atropine, Hyoscyamine, Phenobarbital interactionFolic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Hyoscyamine, Phenobarbital interactionAtropine, Hyoscyamine, Phenobarbital, ScopolamineBarbidonna No. 2, Belladonna Phenobarbital
How Atropine, Hyoscyamine, Phenobarbital, Scopolamine interacts with Homocysteine Regulators — through 2 ingredients. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Hyoscyamine, Phenobarbital, Scopolamine interactionFrom 20 Mg Coenzyme Pyridoxal-5-phosphatePhenobarbital (luminal) Moderate
Interaction Summary
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Atropine, Hyoscyamine, Phenobarbital, Scopolamine interactionAtropine, Hyoscyamine, Scopolamine, PhenobarbitalBarbeloid, Donnatal #2, Donphen
How Atropine, Hyoscyamine, Scopolamine, Phenobarbital interacts with Homocysteine Regulators — through 2 ingredients. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphatePhenobarbital (luminal) Moderate
Interaction Summary
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Atropine, Hyoscyamine, Scopolamine, Phenobarbital interactionFolic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Hyoscyamine, Scopolamine, Phenobarbital interactionAtropine, PhenobarbitalAnthrocol
How Atropine, Phenobarbital interacts with Homocysteine Regulators — through 2 ingredients. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Phenobarbital interactionFrom 20 Mg Coenzyme Pyridoxal-5-phosphatePhenobarbital (luminal) Moderate
Interaction Summary
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Atropine, Phenobarbital interactionAzilsartanEdarbi
How Azilsartan interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Azilsartan interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Homocysteine Regulators — through 1 ingredient. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Azilsartan, Chlorthalidone interactionBelladona Extract, PhenobarbitalChardonna-2
How Belladona Extract, Phenobarbital interacts with Homocysteine Regulators — through 2 ingredients. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphatePhenobarbital (luminal) Moderate
Interaction Summary
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Belladona Extract, Phenobarbital interactionFolic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladona Extract, Phenobarbital interactionBelladonna Alkaloids, Ergotamine Tartrate, PhenobarbitalBel Tabs, Bellamine-S, Bellaphen-S, Duragal S, Phenarbal S, Spastrin
How Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interacts with Homocysteine Regulators — through 2 ingredients. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interactionFrom 20 Mg Coenzyme Pyridoxal-5-phosphatePhenobarbital (luminal) Moderate
Interaction Summary
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interactionBelladonna Alkaloids, PhenobarbitalBarbidonna, Donnatal
How Belladonna Alkaloids, Phenobarbital interacts with Homocysteine Regulators — through 2 ingredients. Tap an ingredient for the detail:
From 20 Mg Coenzyme Pyridoxal-5-phosphatePhenobarbital (luminal) Moderate
Interaction Summary
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Belladonna Alkaloids, Phenobarbital interactionFolic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna Alkaloids, Phenobarbital interactionBelladonna Extract, PhenobarbitalBelap
How Belladonna Extract, Phenobarbital interacts with Homocysteine Regulators — through 2 ingredients. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna Extract, Phenobarbital interactionFrom 20 Mg Coenzyme Pyridoxal-5-phosphatePhenobarbital (luminal) Moderate
Interaction Summary
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Read the full From 20 Mg Coenzyme Pyridoxal-5-phosphate + Belladonna Extract, Phenobarbital interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Homocysteine Regulators 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.
Vitamin B6
Amiodarone (Cordarone)
Theoretically, vitamin B6 might increase the photosensitivity caused by amiodarone.
Despite initial case reports suggesting that pyridoxine may have a protective effect against amiodarone-induced photosensitivity, preliminary clinical research suggests that pyridoxine may actually exacerbate this adverse effect.
Antihypertensive Drugs
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Research in hypertensive rats shows that vitamin B6 can decrease systolic blood pressure. Similarly, clinical research in patients with hypertension shows that taking high doses of vitamin B6 may reduce systolic and diastolic blood pressure, possibly by reducing plasma levels of epinephrine and norepinephrine.
Phenobarbital (Luminal)
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Preliminary clinical evidence suggests that vitamin B6 200 mg daily can reduce plasma levels of phenobarbital, possibly by increasing metabolism. It is not known whether lower doses have any effect. Advise people taking phenobarbital to avoid high doses of vitamin B6.
Phenytoin (Dilantin)
High doses of vitamin B6 may reduce the levels and clinical effects of phenytoin.
Preliminary clinical evidence suggests that vitamin B6 200 mg daily can reduce plasma levels of phenytoin, possibly by increasing metabolism. It is not known whether lower doses have any effect. Advise people taking phenytoin to avoid high doses of vitamin B6.
Levodopa
Vitamin B6 may increase the metabolism of levodopa when taken alone, but not when taken in conjunction with carbidopa.
Vitamin B6 (pyridoxine) enhances the metabolism of levodopa, reducing its clinical effects. However, this interaction does not occur when carbidopa is used concurrently with levodopa (Sinemet). Therefore, it is not likely to be a problem in most people.
Folic Acid
5-Fluorouracil
Theoretically, high doses of folic acid might increase the toxicity of 5-fluorouracil.
Increases in gastrointestinal side effects of 5-fluorouracil, such as stomatitis and diarrhea, have been described in two clinical studies when leucovorin, a form of folic acid, was administered with 5-fluorouracil.
Capecitabine (Xeloda)
Use of high-dose folic acid might contribute to capecitabine toxicity.
Clinical research suggests that higher serum folate levels are associated with an increased risk for moderate or severe toxicity during capecitabine-based treatment for colorectal cancer. Additionally, in one case report, taking folic acid 15 mg daily might have contributed to increased toxicity, including severe diarrhea, vomiting, edema, hand-foot syndrome, and eventually death, in a patient prescribed capecitabine.
Methotrexate (Trexall, Others)
Folic acid might reduce the efficacy of methotrexate as a cancer treatment when given concurrently.
Methotrexate exerts its cytotoxic effects by preventing conversion of folic acid to the active form needed by cells. There is some evidence that folic acid supplements reduce the efficacy of methotrexate in the treatment of acute lymphoblastic leukemia, and theoretically they could reduce its efficacy in the treatment of other cancers. Advise cancer patients to consult their oncologist before using folic acid supplements. In patients treated with long-term, low-dose methotrexate for rheumatoid arthritis (RA) or psoriasis, folic acid supplements can reduce the incidence of side effects, without reducing efficacy.
Phenobarbital (Luminal)
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Folic acid can have direct convulsant activity in some people, reversing the effects of phenobarbital and worsening seizure control. Monitor closely for increased seizure activity.
Phenytoin (Dilantin)
Folic acid might reduce serum levels of phenytoin in some patients.
Folic acid may be a cofactor in phenytoin metabolism. Folic acid, in doses of 1 mg daily or more, can reduce serum levels of phenytoin in some patients. Increases in seizure frequency have been reported. If folic acid supplements are added to established phenytoin therapy, monitor serum phenytoin levels closely. If phenytoin and folic acid are started at the same time and continued together, adverse changes in phenytoin pharmacokinetics are avoided. Note that phenytoin also reduces serum folate levels.
Primidone (Mysoline)
Folic acid might have antagonistic effects on primidone and increase the risk for seizures.
Folic acid can have direct convulsant activity in some people, reversing the effects of primidone and worsening seizure control. Monitor closely for increased seizure activity. Note that primidone also reduces serum folate levels.
Pyrimethamine (Daraprim)
Folic acid might antagonize the effects of pyrimethamine.
Folic acid can antagonize the antiparasitic effects of pyrimethamine against toxoplasmosis and Pneumocystis carinii pneumonia. Folic acid doesn't antagonize the effects of pyrimethamine in the treatment of malaria, because malarial parasites cannot use exogenous folic acid. Use folinic acid as an alternative to folic acid when indicated.
Vitamin B12
Metformin (Glucophage)
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals. Prolonged use of metformin can interfere with the absorption of B12 in the digestive system, potentially leading to a deficiency in this essential vitamin.
Brand information
Manufacturer and brand details for Homocysteine Regulators, from the product label.
NOW
See all NOW products- Name
- NOW FOODS
- Street Address
- 395 S. Glen Ellyn Rd.
- City
- Bloomingdale
- State
- IL
- ZipCode
- 60108
Homocysteine Regulators by NOW: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Homocysteine Regulators’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Folic Acid
Interacts with 40 drugsFolic acid is the man-made form of vitamin B9 and is one of the most well-studied supplements, especially for preventing serious birth defects when taken before and during early pregnancy. I...
Read the full Folic Acid monograph → Herb & supplement monographVitamin B12
Interacts with 20 drugsVitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very helpful for people who are deficient — su...
Read the full Vitamin B12 monograph → Herb & supplement monographVitamin B6
Interacts with 210 drugsVitamin B6 (pyridoxine) is an essential water-soluble vitamin that your body needs for metabolism, brain function, and making red blood cells. It is best known for helping with pregnancy-rel...
Read the full Vitamin B6 monograph →Sources & How We Checked
Homocysteine Regulators'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 118 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.
Folic Acid 56 references
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Vitamin B12 30 references
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- Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 189: Nausea And Vomiting Of Pregnancy. Obstet Gynecol. 2018;131(1):e15-e30. PubMed
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