Libido Support Ingredients & Drug Interactions
by NutraMedix
What is this page for?
First and foremost: checking Libido Support 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
Libido Support is a dietary supplement by NutraMedix with 7 active ingredients. Its ingredients are commonly taken for low libido and sexual function, energy and stamina, menopause symptoms.Based on those ingredients, 1,068 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Epimedium leaf extract, Tribulus fruit extract, Eurycoma longifolia root extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Libido Support by NutraMedix
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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 Libido Support by NutraMedix
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
Low disclosure
NutraMedix Libido Support is a liquid formula with 7 ingredients, including a proprietary blend whose exact amounts are not disclosed. The active ingredients are maca root extract, muira puama bark extract, tribulus fruit extract, eurycoma longifolia root extract, epimedium (horny goat weed) leaf extract, jatropha macrantha stems extract, and eustephia coccinea bark extract—traditional botanicals used to support sexual function.
The inactive ingredients are mineral water and ethanol, which serve as the liquid base and preservative.
Does it work?
Moderate evidence
The evidence for most ingredients in this product is not well established. Tribulus and eurycoma longifolia are rated possibly effective for sexual dysfunction, but maca root, muira puama, and epimedium all carry insufficient evidence to rate them for that purpose.
Tribulus is rated possibly ineffective for athletic performance. For the other conditions these ingredients are traditionally used for—anemia, osteoporosis, bronchitis, and heart disease—the data we hold shows insufficient reliable evidence.
Jatropha macrantha and eustephia coccinea have no effectiveness information on file.
How safe is it?
Well-documented data
Maca and muira puama are generally well tolerated as foods, but long-term safety at supplement doses hasn't been studied well. Tribulus is often well tolerated short-term but can cause stomach upset, nausea, vomiting, diarrhea, or constipation; rare serious effects include liver and kidney injury, seizures, and chronic painful erection.
Eurycoma longifolia is generally tolerated short-term, though if it raises testosterone beyond normal levels, you may experience acne, insulin resistance, and liver problems. Epimedium is well tolerated short-term but may cause dizziness, dry mouth, nosebleed, thirst, or vomiting; a rare case of abnormal heart rhythm has been reported.
All five ingredients with safety data advise against use during pregnancy and breastfeeding due to insufficient information or possible hormonal effects—talk with your doctor or pharmacist before using this product if you're pregnant, planning pregnancy, or nursing.
Meds to double-check
Moderate interaction found
Before taking NutraMedix Libido Support, check with your doctor or pharmacist if you take blood pressure medications—tribulus and epimedium may lower blood pressure further. If you take diabetes medications, tribulus may increase the risk of low blood sugar.
If you're on lithium, propranolol, blood thinners (like warfarin or aspirin), estrogen-containing medications, or any drug processed through your liver's CYP1A2, CYP2C19, CYP2A6, CYP2B6, or CYP3A4 systems, confirm safety with your healthcare provider before starting.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This product combines botanicals traditionally linked to sexual function, though robust evidence is limited for most. If you take medications for blood pressure, diabetes, heart rhythm, blood clotting, estrogen, or use the mood stabilizer lithium, you'll need to check your specific drugs against the interaction tool and clear the product with your doctor or pharmacist first.
Pregnant or breastfeeding people should avoid it. A conversation with your own healthcare provider will help you decide if it's right for you.
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 Feb 24, 2017.
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 Libido Support, straight from the product label.
| Brand | NutraMedix |
|---|---|
| Barcode (UPC) | 728650050403 |
| Net contents | 2 fl. Oz.; 60 mL |
| Market status | On market |
| Date entered into DSLD | Feb 24, 2017 |
| DSLD ID | 70529 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other |
| Intended target group(s) | Adult (18 - 50 Years) |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Libido Support by NutraMedix, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Blend | 1.5 mL | -- |
| Maca root extract | 0 NP | -- |
| Muira Puama Bark Extract | 0 NP | -- |
| Tribulus fruit extract | 0 NP | -- |
| Eurycoma longifolia root extract | 0 NP | -- |
| Epimedium leaf extract | 0 NP | -- |
| Jatropha macrantha stems extract | 0 NP | -- |
| Eustephia coccinea bark extract | 0 NP | -- |
Other ingredients: Mineral Water, Ethanol
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.
Precautions
Stop use if adverse reactions develop.
Keep out of reach of children
Do not use if pregnant or nursing.
Formula
For men & women
FDA Statement of Identity
Herbal Supplement
General Statements
Nutramedix utilizes a proprietary extraction and enhancement process that provides a highly bio-active, full spectrum extract
General
254631 - v.08122015
Storage
Storage: Keep tightly closed at room temperature. (59-86F or 15-30C)
Suggested/Recommended/Usage/Directions
Shake well before each use For a female, take 20 drops twice daily. For a male, take 30 drops twice daily. Can be taken under the tongue or in 2-4 oz. (60-120 ml) of water. For a libido boost, take an additional dose 10-15 minutes after initial dose.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Libido Support by NutraMedix 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 Libido Support by NutraMedix
These are the 7 active ingredients this product is made of. Select any to open its full monograph.
Serving size30 Drop(s) Dosage formLiquid Servings per container40 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.
Proprietary Blend
- › Maca root extract
- › Muira Puama Bark Extract
- › Tribulus fruit extract
- › Eurycoma longifolia root extract
- › Epimedium leaf extract
- › Jatropha macrantha stems extract
- › Eustephia coccinea bark extract
Other (inactive) ingredients: Mineral Water, Ethanol. These complete the product’s ingredient list but are not active constituents.
Libido Support by NutraMedix Drug Interactions
HelloPharmacist Interaction Report
NutraMedix Libido Support contains several ingredients with documented interactions: through its tribulus, eurycoma longifolia, and epimedium (horny goat weed) content, this product may interact with medications.
The most serious interaction is moderate-severity: tribulus and epimedium may both lower blood pressure, and combining them with blood pressure medications could increase the risk of dangerously low blood pressure (hypotension).
Read the full breakdown — every affected drug type, severity by severity
Tribulus also interacts moderately with diabetes medications—it can lower blood sugar and may increase the risk of low blood sugar (hypoglycemia)—and with lithium, a mood-stabilizing medication, where tribulus's diuretic properties might reduce lithium excretion and raise its levels. Eurycoma longifolia has a moderate interaction with propranolol, a beta-blocker heart medication; the extract can reduce propranolol's effectiveness.
Epimedium interacts moderately with blood thinners (anticoagulant and antiplatelet drugs), potentially raising bleeding risk, and with estrogen-containing medications or supplements, which might amplify estrogen's effects.
Eurycoma longifolia and epimedium also carry minor theoretical interactions with several enzyme systems (CYP1A2, CYP2C19, CYP2A6, CYP2B6, and CYP3A4 substrates), meaning they might increase levels of drugs your liver processes through these pathways—though this has not been confirmed in humans. Eurycoma longifolia may theoretically raise testosterone levels further if you're already taking testosterone.
We could not check two ingredients, jatropha macrantha and eustephia coccinea, because we hold no interaction data for them.
Altogether, these interactions span 1,069 individual medications. Before starting this product, run your specific medications through the search tool on this page, and confirm with your doctor or pharmacist that it's safe to add alongside anything you're taking.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Libido Support?
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 Libido Support interact with 1,068 drugs. Click any drug to see the details.
3 of the 7 ingredients in Libido Support interact with drugs. Each result below shows which ingredient is responsible. Epimedium leaf extract Tribulus fruit extract Eurycoma longifolia root extract
Acetaminophen, MethocarbamolRobaxacet
How Acetaminophen, Methocarbamol interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
Read the full Epimedium Leaf Extract + Acetaminophen, Methocarbamol interactionEurycoma Longifolia Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia Root Extract + Acetaminophen, Methocarbamol interactionAcetaminophen, OrphenadrineOrfenagesic
How Acetaminophen, Orphenadrine interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 2b6 (cyp2b6) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP2B6 substrates.
Read the full Epimedium Leaf Extract + Acetaminophen, Orphenadrine interactionEurycoma Longifolia Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia Root Extract + Acetaminophen, Orphenadrine interactionAcetaminophen, OxycodonePercocet, Roxicet, Tylox, Xartemis XR
How Acetaminophen, Oxycodone interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
Read the full Epimedium Leaf Extract + Acetaminophen, Oxycodone interactionEurycoma Longifolia Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia Root Extract + Acetaminophen, Oxycodone interactionAcetaminophen, Pamabrom, PyrilamineMidol Max Strength PMS, Pamprin, Pamprin ES
How Acetaminophen, Pamabrom, Pyrilamine interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
Read the full Epimedium Leaf Extract + Acetaminophen, Pamabrom, Pyrilamine interactionEurycoma Longifolia Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia Root Extract + Acetaminophen, Pamabrom, Pyrilamine interactionAcetaminophen, PentazocineTalacen
How Acetaminophen, Pentazocine interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
Read the full Epimedium Leaf Extract + Acetaminophen, Pentazocine interactionEurycoma Longifolia Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia Root Extract + Acetaminophen, Pentazocine interactionAcetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs
How Acetaminophen, Phenylephrine, Chlorpheniramine interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
Read the full Epimedium Leaf Extract + Acetaminophen, Phenylephrine, Chlorpheniramine interactionEurycoma Longifolia Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia Root Extract + Acetaminophen, Phenylephrine, Chlorpheniramine interactionAcetaminophen, PhenylpropanolamineTetra Caps
How Acetaminophen, Phenylpropanolamine interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
Read the full Epimedium Leaf Extract + Acetaminophen, Phenylpropanolamine interactionEurycoma Longifolia Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia Root Extract + Acetaminophen, Phenylpropanolamine interactionAcetaminophen, Phenylpropanolamine, PhenyltoloxamineSinubid
How Acetaminophen, Phenylpropanolamine, Phenyltoloxamine interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
Read the full Epimedium Leaf Extract + Acetaminophen, Phenylpropanolamine, Phenyltoloxamine interactionEurycoma Longifolia Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia Root Extract + Acetaminophen, Phenylpropanolamine, Phenyltoloxamine interactionAcetaminophen, PhenyltoloxaminePercogesic, Relagesic
How Acetaminophen, Phenyltoloxamine interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
Read the full Epimedium Leaf Extract + Acetaminophen, Phenyltoloxamine interactionEurycoma Longifolia Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia Root Extract + Acetaminophen, Phenyltoloxamine interactionAcetaminophen, Phenyltoloxamine, SalicylamideLobac
How Acetaminophen, Phenyltoloxamine, Salicylamide interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
Read the full Epimedium Leaf Extract + Acetaminophen, Phenyltoloxamine, Salicylamide interactionEurycoma Longifolia Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia Root Extract + Acetaminophen, Phenyltoloxamine, Salicylamide interactionAcetaminophen, PropoxypheneDarvocet-N 100, Darvocet-N 50, E-Lor, Wygesic
How Acetaminophen, Propoxyphene interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
Read the full Epimedium Leaf Extract + Acetaminophen, Propoxyphene interactionEurycoma Longifolia Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia Root Extract + Acetaminophen, Propoxyphene interactionAcetaminophen, PseudoephedrineChildren's Tylenol Sinus, Dristan N.D., Non-Aspirin Sinus, Ornex, Ornex-Max, Sinutab +5 more
How Acetaminophen, Pseudoephedrine interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
Read the full Epimedium Leaf Extract + Acetaminophen, Pseudoephedrine interactionEurycoma Longifolia Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia Root Extract + Acetaminophen, Pseudoephedrine interactionAcetaminophen, Pseudoephedrine, TriprolidineActifed Plus ES
How Acetaminophen, Pseudoephedrine, Triprolidine interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
Read the full Epimedium Leaf Extract + Acetaminophen, Pseudoephedrine, Triprolidine interactionEurycoma Longifolia Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia Root Extract + Acetaminophen, Pseudoephedrine, Triprolidine interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Tribulus Fruit ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking tribulus with antihypertensive drugs might increase the risk of hypotension.
Read the full Tribulus Fruit Extract + Acetazolamide interactionEpimedium Leaf ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, horny goat weed might increase the risk of hypotension.
Read the full Epimedium Leaf Extract + Acetazolamide interactionAcetohexamideDymelor
How Acetohexamide interacts with Libido Support — through 1 ingredient. Tap an ingredient for the detail:
Tribulus Fruit ExtractAntidiabetes Drugs Moderate
Interaction Summary
Taking tribulus with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Tribulus Fruit Extract + Acetohexamide interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with Libido Support — through 1 ingredient. Tap an ingredient for the detail:
Epimedium Leaf ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, horny goat weed might increase the risk of bleeding.
Read the full Epimedium Leaf Extract + Acetylsalicylic Acid interactionAdagrasibKrazati
How Adagrasib interacts with Libido Support — through 1 ingredient. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP3A4 substrates.
Read the full Epimedium Leaf Extract + Adagrasib interactionAgomelatineValdoxan
How Agomelatine interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
Read the full Epimedium Leaf Extract + Agomelatine interactionEurycoma Longifolia Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2c19 (cyp2c19) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia Root Extract + Agomelatine interactionAlbiglutideTanzeum
How Albiglutide interacts with Libido Support — through 1 ingredient. Tap an ingredient for the detail:
Tribulus Fruit ExtractAntidiabetes Drugs Moderate
Interaction Summary
Taking tribulus with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Tribulus Fruit Extract + Albiglutide interactionAlfentanilAlfenta
How Alfentanil interacts with Libido Support — through 1 ingredient. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP3A4 substrates.
Read the full Epimedium Leaf Extract + Alfentanil interactionAlfuzosinUroxatral
How Alfuzosin interacts with Libido Support — through 1 ingredient. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP3A4 substrates.
Read the full Epimedium Leaf Extract + Alfuzosin interactionAliskirenTekturna
How Aliskiren interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Epimedium Leaf ExtractAntihypertensive Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the risk of hypotension.
Read the full Epimedium Leaf Extract + Aliskiren interactionTribulus Fruit ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking tribulus with antihypertensive drugs might increase the risk of hypotension.
Read the full Tribulus Fruit Extract + Aliskiren interactionAlmotriptanAlmogran, Axert
How Almotriptan interacts with Libido Support — through 1 ingredient. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP3A4 substrates.
Read the full Epimedium Leaf Extract + Almotriptan interactionAlogliptinNesina
How Alogliptin interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Tribulus Fruit ExtractAntidiabetes Drugs Moderate
Interaction Summary
Taking tribulus with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Tribulus Fruit Extract + Alogliptin interactionEpimedium Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP3A4 substrates.
Read the full Epimedium Leaf Extract + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with Libido Support — through 1 ingredient. Tap an ingredient for the detail:
Tribulus Fruit ExtractAntidiabetes Drugs Moderate
Interaction Summary
Taking tribulus with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Tribulus Fruit Extract + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with Libido Support — through 2 ingredients. Tap an ingredient for the detail:
Tribulus Fruit ExtractAntidiabetes Drugs Moderate
Interaction Summary
Taking tribulus with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Tribulus Fruit Extract + Alogliptin, Pioglitazone interactionEpimedium Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP3A4 substrates.
Read the full Epimedium Leaf Extract + Alogliptin, Pioglitazone interactionAlpelisibPiqray
How Alpelisib interacts with Libido Support — through 1 ingredient. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP3A4 substrates.
Read the full Epimedium Leaf Extract + Alpelisib interactionAlprazolamNiravam, Xanax
How Alprazolam interacts with Libido Support — through 1 ingredient. Tap an ingredient for the detail:
Epimedium Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, horny goat weed might increase the effects and side effects of CYP3A4 substrates.
Read the full Epimedium Leaf Extract + Alprazolam interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with Libido Support — through 1 ingredient. Tap an ingredient for the detail:
Epimedium Leaf ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, horny goat weed might increase the risk of bleeding.
Read the full Epimedium Leaf Extract + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Libido Support — through 1 ingredient. Tap an ingredient for the detail:
Epimedium Leaf ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, horny goat weed might increase the risk of bleeding.
Read the full Epimedium Leaf Extract + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Libido Support 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.
Epimedium leaf extract
Anticoagulant/Antiplatelet Drugs
Theoretically, horny goat weed might increase the risk of bleeding.
In vitro research and animal research shows that horny goat weed can inhibit platelet aggregation and thrombus formation. This effect has not been reported in humans.
Antihypertensive Drugs
Theoretically, horny goat weed might increase the risk of hypotension.
Laboratory research suggests that horny goat weed might have hypotensive effects. This effect has not been reported in humans.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
In vitro, horny goat weed leaf extract inhibits CYP1A2. This effect has not been reported in humans.
Cytochrome P450 2B6 (Cyp2B6) Substrates
Theoretically, horny goat weed might increase the effects and side effects of CYP2B6 substrates.
In vitro, horny goat weed leaf extract inhibits CYP2B6. This effect has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, horny goat weed might increase the effects and side effects of CYP3A4 substrates.
In vitro, horny goat weed extract inhibits CYP3A4 and suppresses CYP3A4 mRNA expression. This effect has not been reported in humans.
Estrogens
Theoretically, concomitant use of horny goat weed with estrogens might increase their therapeutic and adverse effects.
In vitro evidence suggests that horny goat weed has estrogenic activity. In clinical research, horny goat weed has been shown to increase blood levels of estrogen in some females.
Tribulus fruit extract
Antidiabetes Drugs
Taking tribulus with antidiabetes drugs might increase the risk of hypoglycemia.
Clinical research shows that Tribulus can lower blood glucose levels in adults with type 2 diabetes who are taking antidiabetes medications.
Antihypertensive Drugs
Theoretically, taking tribulus with antihypertensive drugs might increase the risk of hypotension.
Animal research shows that tribulus can lower blood pressure by inhibiting angiotensin-converting enzyme (ACE). Tribulus has also demonstrated hypotensive effects in pre-hypertensive adults.
Lithium
Theoretically, tribulus might increase the levels and clinical effects of lithium.
Tribulus is thought to have diuretic properties. Due to these potential diuretic effects, tribulus might reduce excretion and increase levels of lithium. The dose of lithium might need to be decreased.
Eurycoma longifolia root extract
Propranolol (Inderal)
Eurycoma longifolia can reduce the levels and clinical effects of propranolol.
A small clinical study in healthy persons shows that taking a single dose of a water-based Eurycoma longifolia extract 200 mg, in combination with a single dose of propranolol 80 mg, reduces the propranolol area under the curve (AUC) by 29%, reduces the peak concentration by 42%, and increases time to peak concentration by 86% when compared with control. Since the elimination half-life of propranolol did not change, it seems that Eurycoma longifolia alters the kinetics of propranolol by decreasing its absorption in the gut, and not by altering its metabolism. It is not known if separating administration will prevent this interaction.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
In vitro research suggests that methanolic Eurycoma longifolia root extract weakly inhibits CYP1A2 enzymes. This effect has not been reported in humans.
Cytochrome P450 2A6 (Cyp2A6) Substrates
Theoretically, Eurycoma longifolia might increase levels of CYP2A6 substrates.
In vitro research suggests that methanolic Eurycoma longifolia root extract weakly inhibits CYP2A6 enzymes. This effect has not been reported in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, Eurycoma longifolia might increase levels of CYP2C19 substrates.
In vitro research suggests that methanolic Eurycoma longifolia root extract weakly inhibits CYP2C19 enzymes. This effect has not been reported in humans.
Testosterone
Theoretically, Eurycoma longifolia may further increase levels of testosterone.
A clinical study in aging males with testosterone levels below 300 ng/dL shows that taking a specific water extract of Eurycoma longifolia roots (Physta; Biotropics Malaysia) 100-200 mg daily with breakfast for 12 weeks increases total testosterone levels by 8% to 11% when compared with placebo. It is unclear whether this increase would occur in individuals with normal testosterone levels.
Brand information
Manufacturer and brand details for Libido Support, from the product label.
NutraMedix
See all NutraMedix products- Name
- NutraMedix, LLC
- City
- Jupiter
- State
- FL
- ZipCode
- 33458
- Phone Number
- 1-561-745-2917
- Web Address
- www.nutramedix.com
Libido Support by NutraMedix: Common Questions
Does Libido Support by NutraMedix interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm pregnant or breastfeeding?
What is tribulus, and does it actually work for sexual function?
Does this product contain fillers or inactive ingredients?
What is epimedium (horny goat weed) for?
Can this raise my testosterone?
What side effects might I experience?
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 Libido Support’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Maca
Maca is a nutrient-rich Andean root often used for energy, libido, and menopause symptoms. Early studies suggest it may modestly help sexual desire and some menopause symptoms, but the evide...
Read the full Maca monograph → Herb & supplement monographMuira Puama
Muira puama is a Brazilian plant traditionally used as an aphrodisiac and general tonic, often nicknamed 'potency wood.' Human research is very limited, so its benefits are not well proven,...
Read the full Muira Puama monograph → Herb & supplement monographTribulus
Interacts with 259 drugsTribulus is a plant supplement most often marketed to boost libido, testosterone, and athletic performance, but the human evidence behind these claims is weak and inconsistent. It is general...
Read the full Tribulus monograph → Herb & supplement monographEurycoma Longifolia
Interacts with 248 drugsEurycoma longifolia (tongkat ali) is a Southeast Asian herb most popular for supporting testosterone, libido, and male fertility, with some small human studies suggesting possible benefits....
Read the full Eurycoma Longifolia monograph → Herb & supplement monographHorny Goat Weed
Interacts with 963 drugsHorny goat weed (Epimedium) is a traditional Chinese herb most often marketed for low libido and erectile problems, but solid human evidence for these uses is lacking. While short-term use s...
Read the full Horny Goat Weed monograph →Sources & How We Checked
Libido Support'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 28 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.
Maca 1 reference
- Valerio, L. G., Jr. and Gonzales, G. F. Toxicological aspects of the South American herbs cat's claw (Uncaria tomentosa) and Maca (Lepidium meyenii) : a critical synopsis. Toxicol.Rev 2005;24(1):11-35. PubMed
Muira Puama 2 references
- Waynberg, J. and Brewer, S. Effects of Herbal vX on libido and sexual activity in premenopausal and postmenopausal women. Adv Ther 2000;17(5):255-262. PubMed
- Nguyen S, Rajfer J, Shaheen M. Safety and efficacy of daily Revactin in men with erectile dysfunction: a 3-month pilot study. Transl Androl Urol. 2018;7(2):266-73. PubMed
Tribulus 10 references
- Sharifi AM, Darabi R, Akbarloo N. Study of antihypertensive mechanism of Tribulus terrestris in 2K1C hypertensive rats: role of tissue ACE activity. Life Sci 2003;73:2963-71. PubMed
- Walker D, Bird A, Flora T, O'Sullivan B. Some effects of feeding Tribulus terrestris, Ipomoea lonchophylla and the seed of Abelmoschus ficulneus on fetal development and the outcome of pregnancy in sheep. Reprod Fertil Dev 1992;4:135-44. PubMed
- Al-Ali M, Wahbi S, Twaij H, Al-Badr A. Tribulus terrestris: preliminary study of its diuretic and contractile effects and comparison with Zea mays. J Ethnopharmacol 2003;85:257-60. PubMed
- Tabakova, P., Dimitrov, M., Ognyanov, K., and et al. Clinical study of Tribestan in females with endocrine sterility. Documentation for Registration (unpublished) 1999.
- Akhtari E, Raisi F, Keshavarz M, et al. Tribulus terrestris for treatment of sexual dysfunction in women: randomized double-blind placebo-controlled study. Daru 2014;22:40. PubMed
- Ryan M, Lazar I, Nadasdy GM, et al. Acute kidney injury and hyperbilirubinemia in a young male after ingestion of Tribulus terrestris. Clin Nephrol 2015;83(3):177-83. PubMed
- Postigo S, Lima SM, Yamada SS, et al. Assessment of the effects of Tribulus terrestris on sexual function of menopausal women. Rev Bras Ginecol Obstet 2016;38(3):140-6. PubMed
- Talasaz AH, Abbasi MR, Abkhiz S, Dashti-Khavidaki S. Tribulus terrestris-induced severe nephrotoxicity in a young healthy male. Nephrol Dial Tranplant 2010;25(11):3792-3. PubMed
- Samani NB, Jokar A, Soveid M, Heydari M, Mosavat SH. Efficacy of the hydroalcoholic extract of Tribulus terrestris on the serum glucose and lipid profile of women with diabetes mellitus: a double-blind randomized placebo-controlled clinical trial. J Evid
- Siddiqui MA, Itrat M, Mobeen A, Khan MI. Efficacy of khar-i-khasak (Tribulus terrestris Linn.) in prehypertension: a randomized, double-blind, placebo-controlled trial. J Complement Integr Med. 2021.
Eurycoma Longifolia 4 references
- Salman SA, Amrah S, Wahab MS, et al. Modification of propranolol's bioavailability by Eurycoma longifolia water-based extract. J Clin Pharm Ther 2010;35:691-6. PubMed
- Tambi MI, Imran MK, Henkel RR. Standardised water-soluble extract of Eurycoma longifolia, Tongkat ali, as testosterone booster for managing men with late-onset hypogonadism? Andrologia 2011 Jun 15. doi: 10.1111/j.1439-0272.2011.01168.x. [Epub ahead of pri PubMed
- Han YM, Kim IS, Rehman SU, Choe K, Yoo HH. In vitro evaluation of the effects of Eurycoma longifolia extract on CYP-mediated drug metabolism. Evid Based Complement Alternat Med 2015;2015:631329.
- Chinnappan SM, George A, Pandey P, Narke G, Choudhary YK. Effect of Eurycoma longifolia standardised aqueous root extract-Physta ® on testosterone levels and quality of life in ageing male subjects: a randomised, double-blind, placebo-controlled multicent
Horny Goat Weed 11 references
- Cirigliano MD, Szapary PO. Horny goat weed for erectile dysfunction. Alt Med Alert 2001;4:19-22.
- Partin JF, Pushkin YR. Tachyarrhythmia and hypomania with horny goat weed. Psychosomatics 2004;45:536-7. PubMed
- De Naeyer A, Pocock V, Milligan S, De Keukeleire D. Estrogenic activity of a polyphenolic extract of the leaves of Epimedium brevicornum. Fitoterapia 2005;76:35-40. PubMed
- Zhang CZ, Wang SX, Zhang Y, et al. In vitro estrogenic activities of Chinese medicinal plants traditionally used for the management of menopausal symptoms. J Ethnopharmacol 2005;98:295-300. PubMed
- Yap SP, Shen P, Li J, et al. Molecular and pharmacodynamic properties of estrogenic extracts from the traditional Chinese medicinal herb, Epimedium. J Ethnopharmacol 2007;113:218-24. PubMed
- Yan, F. F., Liu, Y., Liu, Y. F., and Zhao, Y. X. Herba Epimedii water extract elevates estrogen level and improves lipid metabolism in postmenopausal women. Phytother.Res. 2008;22(9):1224-1228. PubMed
- Ramanathan VS, Mitropoulos E, Shlopov B, et al. An Enzyte'ing' case of acute hepatitis. J Clin Gastroenterol 2011;45(9):834-5. PubMed
- Zhong Q, Shi Z, Zhang L, et al. The potential of Epimedium koreanum Nakai for herb-drug interaction. J Pharm Pharmacol 2017;69(10):1398-408. doi: 10.1111/jphp.12773.
- Irfan M, Kwon TH, Lee DH, et al. Antiplatelet and Antithrombotic Effects of Epimedium koreanum Nakai. Evid Based Complement Alternat Med. Apr 2021;2021:7071987. PubMed
- Tan K, Yang W, Pang L, Hou F. Differences in clinical characteristics among 726 patients with Chinese herbal medicine- or Western medicine-induced liver injury. Medicine (Baltimore) 2022;101(32):e29909. PubMed
- Li K, Yu XH, Maskey AR, et al. Cytochrome P450 3A4 suppression by epimedium and active compound kaempferol leads to synergistic anti-inflammatory effect with corticosteroid. Front Pharmacol 2023;13:1042756. 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