L-Citrulline DL-Malate 1:1 Ingredients & Drug Interactions
What is this page for?
First and foremost: checking L-Citrulline DL-Malate 1:1 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
L-Citrulline DL-Malate 1:1 is a dietary supplement by BulkSupplements.com with 2 active ingredients. Its ingredients are commonly taken for exercise performance, muscle soreness and fatigue, blood flow and circulation.Based on those ingredients, 178 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are L-Citrulline, DL-Malate. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against L-Citrulline DL-Malate 1:1 by BulkSupplements.com
Ask about any prescription or over-the-counter medication and we check it for interactions with L-Citrulline DL-Malate 1:1 by BulkSupplements.com — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of L-Citrulline DL-Malate 1:1 by BulkSupplements.com
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This product contains 2 active ingredients: L-citrulline, an amino acid your body converts to another amino acid called L-arginine, which plays a role in blood vessel relaxation and circulation; and DL-malate, a form of malic acid (a naturally occurring compound found in fruits). There are no inactive ingredients listed for this powder.
Does it work?
Moderate evidence
L-citrulline is possibly effective for athletic performance — meaning some evidence supports it, though more research would help confirm it. For sarcopenia (age-related muscle loss), the evidence suggests it's possibly ineffective.
For cardiovascular disease, heart failure, Reye syndrome, and diabetes, we don't have enough reliable evidence in our data to know whether it works. DL-malate is possibly effective for dry mouth, but evidence is insufficient for acne, GERD, fatigue, fibromyalgia, and psoriasis.
How safe is it?
Well-documented data
L-citrulline is generally well tolerated in healthy adults, though long-term safety hasn't been fully studied. The most common side effects are gastrointestinal discomfort and heartburn.
A small number of people with pulmonary hypertension reported cough. DL-malate is generally well tolerated in the amounts found in food, but supplement safety is not well studied.
When taken as a supplement, diarrhea and nausea have been reported with certain combination products, though it's unclear whether malic acid or another ingredient was responsible. There is not enough safety data for L-citrulline during pregnancy, so it's best to avoid it.
L-citrulline should be avoided while breastfeeding because safety is unknown. DL-malate is likely safe during pregnancy, but supplement doses haven't been studied while breastfeeding — talk with your doctor or pharmacist before using it if you're nursing.
Meds to double-check
Moderate interaction found
Before you take this product, double-check any antihypertensive drugs (blood pressure medications) you're on — both ingredients may lower blood pressure further and could cause dizziness or dangerous drops. Also check if you take phosphodiesterase-5 inhibitors (erectile dysfunction or pulmonary hypertension medications) — L-citrulline could intensify their blood vessel-relaxing effects.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
This product may appeal to people looking to support athletic performance or circulation, but it's not right for you if you take blood pressure medications or erectile dysfunction drugs without checking first. L-citrulline in particular can add to how those drugs work and cause your blood pressure to drop too much.
If you're pregnant or breastfeeding, talk with your doctor or pharmacist before starting.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jul 25, 2024.
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 L-Citrulline DL-Malate 1:1, straight from the product label.
| Brand | BulkSupplements.com |
|---|---|
| Barcode (UPC) | X000HNRYA5 |
| Net contents | 500 Gram(s); 17.6 Ounce(s) |
| Market status | On market |
| Date entered into DSLD | Jul 25, 2024 |
| DSLD ID | 312125 |
| Product type | Other Combinations |
| Supplement form | Powder |
| 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 L-Citrulline DL-Malate 1:1 by BulkSupplements.com, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| L-Citrulline | 1680 mg | -- |
| DL-Malate | 1320 mg | -- |
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.
Brand IP Statement(s)
BulkSupplements.com Clean & Pure Bulk Supplements
FDA Disclaimer Statement
Warning: This product is not intended to diagnose, treat, cure, or prevent any disease.
Precautions
Always consult a physician before taking any dietary supplement.
Keep out of reach of children.
Formulation
Free of: Added sugar, soy, dairy, yeast, gluten, additives
Suggested/Recommended/Usage/Directions
Suggested Use: As a dietary supplement, take 3000 mg (about 1 1/5 tsp) once or twice daily, or as directed by a physician.
Storage
Store in a dry, cool place
General Statements
Use an accurate milligram scale. Contents are sold by weight, not volume. Settling may occur. New
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
L-Citrulline DL-Malate 1:1 by BulkSupplements.com 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 L-Citrulline DL-Malate 1:1 by BulkSupplements.com
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size3000 mg Dosage formPowder Servings per container167 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.
L-Citrulline
Interacts with178 drugs
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 & interactionsDL-Malate
Interacts with172 drugs
Malic acid is a natural acid found in apples and other fruits, often combined with magnesium in supplements marketed for fibromyalgia and muscle pain....
DL-Malate monograph & interactionsL-Citrulline DL-Malate 1:1 by BulkSupplements.com Drug Interactions
HelloPharmacist Interaction Report
L-Citrulline DL-Malate 1:1 by BulkSupplements.com interacts with medications through both its L-citrulline and DL-malate content.
The most serious concern is a moderate-severity interaction with antihypertensive drugs (blood pressure medications) from both ingredients. L-citrulline is converted to L-arginine in your body, which relaxes blood vessels — adding this to blood pressure medication could lower your pressure too much.
DL-malate may have similar additive effects on blood pressure. Altogether, these interactions span 178 individual medications.
Read the full breakdown — every affected drug type, severity by severity
L-citrulline also has a moderate interaction with phosphodiesterase-5 inhibitors (medications like sildenafil, tadalafil, and vardenafil used for erectile dysfunction or pulmonary hypertension). Both work by relaxing blood vessels, so taking them together could cause excessive blood vessel relaxation and a dangerous drop in blood pressure.
Before you start this product, run your exact blood pressure or erectile dysfunction medications through the interaction checker below. If you take any of these drugs, talk with your own doctor or pharmacist about whether this supplement is right for you.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against L-Citrulline DL-Malate 1:1?
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 L-Citrulline DL-Malate 1:1 interact with 178 drugs. Click any drug to see the details.
2 of the 2 ingredients in L-Citrulline DL-Malate 1:1 interact with drugs. Each result below shows which ingredient is responsible. L-Citrulline DL-Malate
Reserpine, TrichlormethiazideMetatensin #2, Metatensin #4, Naquival
How Reserpine, Trichlormethiazide interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
Dl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Reserpine, Trichlormethiazide interactionL-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Reserpine, Trichlormethiazide interactionRiociguatAdempas
How Riociguat interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
L-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Riociguat interactionDl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Riociguat interactionSacubitril, ValsartanEntresto
How Sacubitril, Valsartan interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
Dl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Sacubitril, Valsartan interactionL-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Sacubitril, Valsartan interactionSelexipagUptravi
How Selexipag interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
L-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Selexipag interactionDl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Selexipag interactionSildenafilRevatio
How Sildenafil interacts with L-Citrulline DL-Malate 1:1 — through 1 ingredient. Tap an ingredient for the detail:
L-citrullinePhosphodiesterase-5 Inhibitors Moderate
Interaction Summary
Theoretically, concurrent use of phosphodiesterase-5 (PDE-5) inhibitors and L-citrulline might result in additive vasodilation.
Read the full L-citrulline + Sildenafil interactionSildenafil CitrateViagra
How Sildenafil Citrate interacts with L-Citrulline DL-Malate 1:1 — through 1 ingredient. Tap an ingredient for the detail:
L-citrullinePhosphodiesterase-5 Inhibitors Moderate
Interaction Summary
Theoretically, concurrent use of phosphodiesterase-5 (PDE-5) inhibitors and L-citrulline might result in additive vasodilation.
Read the full L-citrulline + Sildenafil Citrate interactionSitaxsentan SodiumThelin
How Sitaxsentan Sodium interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
L-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Sitaxsentan Sodium interactionDl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Sitaxsentan Sodium interactionSodium NitroprussideNipride RTU
How Sodium Nitroprusside interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
Dl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Sodium Nitroprusside interactionL-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Sodium Nitroprusside interactionSpironolactoneAldactone, Carospir, Spiroton
How Spironolactone interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
L-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Spironolactone interactionDl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Spironolactone interactionTadalafilCialis, Tadliq
How Tadalafil interacts with L-Citrulline DL-Malate 1:1 — through 1 ingredient. Tap an ingredient for the detail:
L-citrullinePhosphodiesterase-5 Inhibitors Moderate
Interaction Summary
Theoretically, concurrent use of phosphodiesterase-5 (PDE-5) inhibitors and L-citrulline might result in additive vasodilation.
Read the full L-citrulline + Tadalafil interactionTalinololTalinolol
How Talinolol interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
L-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Talinolol interactionDl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Talinolol interactionTelmisartanMicardis
How Telmisartan interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
Dl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Telmisartan interactionL-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Telmisartan interactionTelmisartan, AmlodipineTwynsta
How Telmisartan, Amlodipine interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
L-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Telmisartan, Amlodipine interactionDl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Telmisartan, Amlodipine interactionTerazosinHytrin, Terazosin
How Terazosin interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
Dl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Terazosin interactionL-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Terazosin interactionTimololBlocadren, Timol, Timoptic
How Timolol interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
L-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Timolol interactionDl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Timolol interactionTorsemideDemadex, Soaanz
How Torsemide interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
Dl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Torsemide interactionL-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Torsemide interactionTrandolaprilMavik
How Trandolapril interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
L-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Trandolapril interactionDl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Trandolapril interactionTrandolapril, VerapamilTarka
How Trandolapril, Verapamil interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
L-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Trandolapril, Verapamil interactionDl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Trandolapril, Verapamil interactionTreprostinil
How Treprostinil interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
Dl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Treprostinil interactionL-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Treprostinil interactionTreprostinil (inh)Tyvaso
How Treprostinil (inh) interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
L-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Treprostinil (inh) interactionDl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Treprostinil (inh) interactionTreprostinil (oral)Orenitram, Remodulin
How Treprostinil (oral) interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
Dl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Treprostinil (oral) interactionL-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Treprostinil (oral) interactionTriamtereneDyrenium
How Triamterene interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
L-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Triamterene interactionDl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Triamterene interactionTrichlormethiazideAq 4B Aquazide, Marazide II, Metahydrin, Naqua
How Trichlormethiazide interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
Dl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Trichlormethiazide interactionL-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Trichlormethiazide interactionTrimethaphanArfonad
How Trimethaphan interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
L-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Trimethaphan interactionDl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Trimethaphan interactionUreaUreaphil
How Urea interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
Dl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Urea interactionL-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Urea interactionValsartanDiovan, Prexxartan
How Valsartan interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
L-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Valsartan interactionDl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Valsartan interactionVardenafilLevitra, Staxyn
How Vardenafil interacts with L-Citrulline DL-Malate 1:1 — through 1 ingredient. Tap an ingredient for the detail:
L-citrullinePhosphodiesterase-5 Inhibitors Moderate
Interaction Summary
Theoretically, concurrent use of phosphodiesterase-5 (PDE-5) inhibitors and L-citrulline might result in additive vasodilation.
Read the full L-citrulline + Vardenafil interactionVerapamilCalan, Calan SR, Covera HS, Isoptin, Isoptin SR, Veramil +3 more
How Verapamil interacts with L-Citrulline DL-Malate 1:1 — through 2 ingredients. Tap an ingredient for the detail:
L-citrullineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-citrulline with antihypertensive drugs might have additive effects and increase the chance of hypotension.
Read the full L-citrulline + Verapamil interactionDl-malateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Dl-malate + Verapamil interactionEach ingredient & the kinds of drugs it affects
For each ingredient in L-Citrulline DL-Malate 1:1 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.
L-Citrulline
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.
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.
DL-Malate
Antihypertensive Drugs
Theoretically, malic acid might increase the risk of hypotension when taken with antihypertensive drugs.
Animal research shows that malic acid isolated from tagetes roots can reduce mean arterial blood pressure.
Brand information
Manufacturer and brand details for L-Citrulline DL-Malate 1:1, from the product label.
BulkSupplements.com
See all BulkSupplements.com products- Name
- BulkSupplements.com
- Street Address
- 7511 Eastgate Rd
- City
- Henderson
- State
- NV
- ZipCode
- 89011
- Web Address
- BulkSupplements.com
L-Citrulline DL-Malate 1:1 by BulkSupplements.com: Common Questions
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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.
The Full Monographs Behind L-Citrulline DL-Malate 1:1’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
L-citrulline
Interacts with 178 drugsL-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. It is popular for exercise performance an...
Read the full L-citrulline monograph → Herb & supplement monographMalic Acid
Interacts with 172 drugsMalic acid is a natural acid found in apples and other fruits, often combined with magnesium in supplements marketed for fibromyalgia and muscle pain. The evidence for its health benefits is...
Read the full Malic Acid monograph →Sources & How We Checked
L-Citrulline DL-Malate 1:1'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 15 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.
L-citrulline 8 references
- Cheng JW, Balwin SN. L-arginine in the management of cardiovascular diseases. Ann Pharmacother 2001;35:755-64. PubMed
- Schwedhelm E, Maas R, Freese R, et al. Pharmacokinetic and pharmacodynamic properties of oral L-citrulline and L-arginine: impact on nitric oxide metabolism. Br J Clin Pharmacol 2008;65:51-9. PubMed
- Romero MJ, Platt DH, Caldwell RB, Caldwell RW. Therapeutic use of citrulline in cardiovascular disease. Cardiovasc Drug Rev 2006;24:275-90. PubMed
- Balderas-Munoz K, Castillo-Martínez L, Orea-Tejeda A, et al. Improvement of ventricular function in systolic heart failure patients with oral L-citrulline supplementation. Cardiol J 2012;19:612-7. PubMed
- Sharif Kashani B, Tahmaseb Pour P, Malekmohammad M, et al. Oral l-citrulline malate in patients with idiopathic pulmonary arterial hypertension and Eisenmenger Syndrome: a clinical trial. J Cardiol 2014;64:231-5. PubMed
- Pérez-Guisado J, Jakeman PM. Citrulline malate enhances athletic anaerobic performance and relieves muscle soreness. J Strength Cond Res 2010;24:1215-22. PubMed
- Mirenayat MS, Moradi S, Mohammadi H, Rouhani MH. Effect of L-citrulline supplementation on blood pressure: a systematic review and meta-analysis of clinical trials. Curr Hypertens Rep. 2018;20(11):98. PubMed
- Xu Z, Liu C, Liu S, Zhou Z. Comparison of efficacy and safety of daily oral L-arginine and PDE5Is alone or combination in treating erectile dysfunction: A systematic review and meta-analysis of randomised controlled trials. Andrologia. 2021:e14007. PubMed
Malic Acid 7 references
- Russell IJ, Michalek JE, Flechas JD, Abraham GE. Treatment of fibromyalgia syndrome with Super Malic: a randomized, double blind, placebo controlled, crossover pilot study. J Rheumatol 1995;22:953-8.
- Fiume, Z. Final report on the safety assessment of malic acid and sodium malate. Int J Toxicol 2001;20 Suppl 1:47-55. PubMed
- Electronic Code of Federal Regulations. Title 21. Part 184 - Direct Food Substances Affirmed as Generally Recognized as Safe. Available at: http://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&sid=786bafc6f6343634fbf79fcdca7061e1&rgn=div5&view=text&node=21:3.0.1.1
- Saleem R, Ahmad M, Naz A, et al. Hypotensive and toxicological study of citric acid and other constituents from Tagetes patula roots. Arch Pharm Res 2004;27(10):1037-42.
- Chiriac A, Brzezinski P. Topical malic acid in combination with citric acid: an option to treat recalcitrant warts. Dermatol Ther. 2015;28(6):336-8. PubMed
- CFR - Code of Federal Regulations Title 21 SUBCHAPTER B. 184.1069 Malic Acid. Food and Drug Administration Department Of Health And Human Services. Updated April 1, 2017. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=184.1069.
- Amended Safety Assessment of Malic Acid and Sodium Malate as Used in Cosmetics. Cosmetic Ingredient Review Expert Panel. Updated May 19, 2017. http://www.cir-safety.org/sites/default/files/malic%20acid.pdf. Accessed January 24, 2018.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
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