Major interaction on record — check this product against your medications before combining. Based on 5 of 11 ingredients. Check your meds →
Dietary supplement

Lipo 6 Black Ingredients & Drug Interactions

by Nutrex Research

Lipo 6 Black label
See full label image
Capsule Category: Other Combinations
Most serious interaction: Major
Clinical methodology reviewed by · Updated Sep 16, 2026 · Label data from the NIH DSLD
What is this page for?

First and foremost: checking Lipo 6 Black 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

The interaction bottom line Most serious interaction: Major

Lipo 6 Black is a dietary supplement by Nutrex Research with 11 active ingredients. Its ingredients are commonly taken for weight loss, athletic performance and energy, digestive upset.Based on those ingredients, 1,484 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Yohimbe, Advantra Z Citrus aurantium, Caffeine Anhydrous. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

Jump to a section

Check Your Meds Against Lipo 6 Black by Nutrex Research

Ask about any prescription or over-the-counter medication and we check it for interactions with Lipo 6 Black by Nutrex Research — and tell you which ingredient is responsible.

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HelloPharmacist Scorecard of Lipo 6 Black by Nutrex Research

Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.

From our pharmacy team — supplement deep dive

Generated from HelloPharmacist’s pharmacist-curated databases and editorial rules · Last generated Aug 13, 2026

What’s inside

Low disclosure
Ingredient Transparency · database check
Low

Most active ingredients don't disclose an individual amount — you can't tell how much of each you're getting.

Why this rating?
  • The label discloses an exact amount for 0 of its 11 active ingredients.
  • “Yohimbe” is listed as a grouped ingredient — the label doesn't break down how much of each component you get.
  • “Beyond Extreme Fat Loss & Energy Igniter” is listed as a grouped ingredient — the label gives one combined amount (45 mg) without saying how much of each component you get.
  • “Underground Fat Oxidation Stimulator (Non-Nutrient/Non-Botanical)” is listed as a grouped ingredient — the label gives one combined amount (150 mcg) without saying how much of each component you get.

Lipo 6 Black contains 11 active ingredients, most of them stimulants and metabolism-focused compounds. The two forms of caffeine (caffeine anhydrous and 1-methyl caffeine) are included to promote alertness and energy.

Yohimbine HCl and alpha-yohimbine are extracted from yohimbe bark and work as stimulants; the product also includes R-beta-methylphenylethylamine HCl (a relative of phenethylamine, which affects mood and energy), and bitter orange extract (Advantra Z) containing synephrine, another stimulant compound. 3,5-diiodo-L-thyronine is a thyroid-active compound, and zingerone comes from ginger.

Several ingredients—beta-phenylethylamine HCl, N-methyl-beta-phenylethylamine HCl, and geranium surge—are proprietary blend components we cannot fully evaluate. The product also includes inactive ingredients like cellulose, glycerin, and food colorings.

Does it work?

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

Clinical evidence supports at least one of this product's ingredients for its stated purpose.

Why this rating?
  • The label markets this product for: Fat loss and weight management support.
  • We looked for evidence on: Obesity, Athletic performance, Metabolic rate, Body composition, Appetite suppression.
  • The strongest evidence on file: Caffeine is rated "Likely Effective" for Athletic performance (Natural Medicines).
  • Also on file: Caffeine is rated "Possibly Effective" for Obesity.
  • Also on file: Yohimbe is rated "Insufficient Reliable Evidence To Rate" for Athletic performance, Obesity.

The evidence for most of Lipo 6 Black's ingredients is weak or absent. Caffeine is well established for mental alertness and athletic performance, but for weight loss or metabolic boost, the data we hold shows insufficient evidence for yohimbe, alpha-yohimbine, bitter orange, R-beta-methylphenylethylamine, and 3,5-diiodo-L-thyronine.

None of the product's ingredients have been proven effective for obesity in our data. If you're considering this product for fat loss or energy, talk with your doctor or pharmacist about whether the evidence supports its use for your goals.

The evidence, ingredient by ingredient Bitter Orange Diiodothyronine Yohimbe Phenethylamine (pea) Caffeine

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

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

Why this rating?
  • We hold adverse-effect (side-effect) data for 5 of the 6 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 6 of 6.
  • General safety write-ups exist for 6 of 6.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Caffeine in moderate amounts is generally well tolerated in healthy adults, though high doses can cause anxiety, insomnia, tremors, nausea, and rarely stroke. Yohimbine and alpha-yohimbine are potent stimulants with a narrow safety margin—they can raise blood pressure, cause heart palpitations, anxiety, agitation, and tremors, and their strength varies between batches.

Bitter orange contains stimulant compounds that may cause high blood pressure and rapid heart rate, especially with caffeine. 3,5-diiodo-L-thyronine is a thyroid-active compound with limited safety data in humans and possible effects on heart and thyroid function.

During pregnancy, caffeine at moderate intake may be possibly safe, but high amounts carry risks; yohimbine and alpha-yohimbine should be avoided (safety data is insufficient or they are considered unsafe), and bitter orange is not recommended. While breastfeeding, small amounts of caffeine usually pass into milk and are often considered acceptable, but yohimbine, alpha-yohimbine, bitter orange, and 3,5-diiodo-L-thyronine should be avoided due to lack of safety data.

Side effects, ingredient by ingredient Bitter Orange Diiodothyronine Yohimbe Phenethylamine (pea) Caffeine

Meds to double-check

Major interaction found
Known Interaction Concern · database check
Major identified

At least one ingredient has a documented Major-severity interaction. Check your medications for a personalized result.

Why this rating?
  • 5 of the 6 matched ingredients can interact with medications — Yohimbe, Bitter Orange, Caffeine, Phenethylamine (pea), Rauwolscine.
  • The most serious interaction on file is rated Major.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs; seizure medications; diabetes medications; heart-rhythm medications; lithium.
  • For scale: 1,485 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Before taking Lipo 6 Black, check with your doctor or pharmacist if you take ephedrine or other stimulant medications (Major risk for dangerous increases in blood pressure and heart effects), monoamine oxidase inhibitors (MAOIs) like phenelzine or tranylcypromine (Major risk for hypertensive crisis), midazolam or other anti-anxiety sedatives (Major risk of overdose), blood pressure-lowering medications, seizure medications, antipsychotics, diabetes medications, or blood thinners. The product's caffeine and stimulant compounds interact with many drug categories; if you take any prescription medication, run it through the checker on this page before starting.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFormula with limited ingredient disclosure with clinical evidence supporting its stated purpose. Major medication interactions have been identified, and safety information is well characterized.

Lipo 6 Black is a high-stimulant formula best suited to people seeking energy and focus who have no heart, blood pressure, or seizure conditions and take no medications that interact with caffeine, yohimbine, or bitter orange. Anyone on prescription medications, especially blood pressure drugs, antidepressants, stimulants, diabetes medications, or seizure medications, should check each drug against the interactions below before considering this product.

Pregnant or breastfeeding people should avoid it. Talk with your own doctor or pharmacist about whether this product fits your health and medication picture.

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

Assessment coverage: 7 of 11 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 25, 2011.

This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed

At a glance

General information

Key facts about Lipo 6 Black, straight from the product label.

Brand Nutrex Research
Barcode (UPC) 853237001230
Net contents 120 Black-Cap(s)(TM)
Market status On market
Date entered into DSLD Nov 25, 2011
DSLD ID 2360
Product type Other Combinations
Supplement form Capsule
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years)
From the label
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.

Supplement Facts

The label details for Lipo 6 Black by Nutrex Research, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
3 Capsule(s)
Maximum serving Sizes:
3 Capsule(s)
Servings per container
40
UPC/BARCODE
853237001230
IngredientAmount% DV
Caffeine Anhydrous0 NP--
Yohimbe0 NP--
Yohimbine HCl0 NP--
3,5-Diiodo-L-thyronine0 NP--
Beta-Phenylethylamine HCl0 NP--
N-Methyl-Beta-Phenylethylamine HCl0 NP--
Zingerone0 NP--
1-Methyl Caffeine0 NP--
R-Beta-Methylphenylethylamine HCl0 NP--
Beyond Extreme Fat Loss & Energy Igniter45 mg--
Advantra Z Citrus aurantium0 NP--
Geranium Surge0 NP--
Underground Fat Oxidation Stimulator (Non-Nutrient/Non-Botanical)150 mcg--
Lipolytic Acceleration Matrix (Combination)4.5 mg--
Alpha-Yohimbine0 NP--
Metabolic Heat & Thermogenic Activator (Non-Nutrient/Non-Botanical)150 mg--
Free Fatty Acid Releasing Complex (Non-Nutrient/Non-Botanical)200 mg--

Other ingredients: Vegetable Cellulose, Glycerin, purified Water, Polysorbate 80, Hypromellose, FD&C Blue 1, FD&C Red 40, FD&C Yellow 6

Tap any ingredient to jump to its full detail below.

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

WARNING: USE WITH CAUTION DUE TO EXTREME POTENCY

KEEP OUT OF REACH OF CHILDREN.

Do not use if pregnant or nursing.

Never exceed the recommended maximum dosage. Do not consume synephrine, caffeine or thyroid-boosting compounds from other sources, including but not limited to, coffee, tea, soda and other dietary supplements or medications containing phenylephrine or caffeine or any stimulants whatsoever. This product contains caffeine. Do not use this product for longer than 8 weeks and make sure that usage is followed by a 4 week off-period. Consult your physician prior to use if you are taking medication, including but not limited to, MAOI inhibitors, anti-depressants, aspirin, non-steroidal anti-inflammatory drugs or products containing phenylephrine, ephedrine, pseudoephedrine, phenylethylamine or other stimulants. Consult your physician prior to use if you have a medical condition, including but not limited to, heart, liver, kidney or thyroid disease, psychiatric disorders, difficulty urinating, diabetes, high blood pressure, cardiac arrhythmia, recurrent headaches, enlarged prostate or glaucoma. Discontinue use 2 weeks prior to surgery. Immediately discontinue if you experience rapid heart beat, dizziness, severe headaches or shortness of breath.

WARNING: IMPORTANT MUST READ: LIPO-6 Black is absolutely not for use by persons under the age of 21.

FDA Statement of Identity

Dietary Supplement

Suggested/Recommended/Usage/Directions

For maximum potency and best results LIPO-6 Black should not be taken with meals. Consume at least 30 minutes prior to a meal. Furthermore, LIPO-6 Black has to be used in cycles. A maximum cycle length is 8 weeks followed by a 4 week off-period. Regular exercise and proper nutrition are essential for achieving your weight-loss goals. As individuals vary so may results from using this product.

RECOMMENDED USE: Due to the extreme potency of LIPO-6 Black all label guidelines must be strictly followed. To experience the full UNDERGROUND strength of LIPO-6 Black take 3 Black-Caps in the morning and an additional 3 Black-Caps in the afternoon. Do not take within 6 hours of sleep. NEVER EXCEED 6 BLACK-CAPS PER DAY.

FDA Disclaimer Statement

The statements on this label have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

General

LBL-LIPO6BLK-120CT-V2-US

General Statements

THE END OF THE LINE UNDERGROUND FAT DESTROYER

WHAT YOU’RE HOLDING IN YOUR HAND IS A BOTTLE OF THE MEANEST AND CRUELEST FAT DESTROYER THIS PLANET HAS EVER SEEN. LIPO-6 BLACK. WE WENT DOWN TO THE LABORATORY AND COOKED UP THE MOST VICIOUS BLEND OF FAT-BURNING COMPOUNDS IMAGINABLE. THIS WICKED FORMULA IS OPERATING IN A TERRITORY NO OTHER FAT DESTROYER HAS EVER DARED TO GO. LIPO-6 BLACK ATTACKS BODY FAT WITH A KILLER INSTINCT FORMULATED TO INSTANTLY DESTROY IT WHEREVER THE TWO MEET.

Brand IP Statement(s)

† Advantra Z(R) is a registered trademark of Nutratech, Inc./Zhishin, LLC licensor of U.S. and Canadian Patents.

Formulation

This product utilizes only natural vegetable capsules that are free of animal products.

Is this label outdated? Report a formula or label change and our pharmacy team will review it.

See for yourself

Lipo 6 Black by Nutrex Research label

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

Lipo 6 Black label

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)
What’s inside

The Ingredients in Lipo 6 Black by Nutrex Research

These are the 11 active ingredients this product is made of. Select any to open its full monograph.

Serving size3 Capsule(s) Dosage formCapsule 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.

Beyond Extreme Fat Loss & Energy Igniter

45 mg per serving

Underground Fat Oxidation Stimulator (Non-Nutrient/Non-Botanical)

No known
interactions
150 mcg per serving

Diiodothyronine (T2) is a thyroid hormone metabolite sold as a fat-loss and metabolism supplement, mostly in the bodybuilding world. Human evidence fo...

Underground Fat Oxidation Stimulator (Non-Nutrient/Non-Botanical) monograph & interactions

Lipolytic Acceleration Matrix (Combination)

4.5 mg per serving

Metabolic Heat & Thermogenic Activator (Non-Nutrient/Non-Botanical)

150 mg per serving

Free Fatty Acid Releasing Complex (Non-Nutrient/Non-Botanical)

200 mg per serving

Other (inactive) ingredients: Vegetable Cellulose, Glycerin, Purified Water, Polysorbate 80, Hypromellose, FD&C Blue 1, FD&C Red 40, FD&C Yellow 6. These complete the product’s ingredient list but are not active constituents.

Interaction report

Lipo 6 Black by Nutrex Research Drug Interactions

Want to check YOUR meds against Lipo 6 Black?

Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.

 Go to the checker
1,484Drugs
18 Major 1,442 Moderate 24 Minor

Ingredients driving the most interactions

Yohimbe 1,125
Advantra Z Citrus aurantium 957
Caffeine Anhydrous 655
R-Beta-Methylphenylethylamine HCl 187

Individual Drug Interactions

The ingredients in Lipo 6 Black interact with 1,484 drugs. Click any drug to see the details.

4 of the 11 ingredients in Lipo 6 Black interact with drugs. Each result below shows which ingredient is responsible. Yohimbe Advantra Z Citrus aurantium Caffeine Anhydrous R-Beta-Methylphenylethylamine HCl

Each ingredient & the kinds of drugs it affects

For each ingredient in Lipo 6 Black 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.

Yohimbe13 drug types · 1,125 drugs

Monoamine Oxidase Inhibitors (Maois)

Concomitant use of MAOIs with yohimbe can result in additive effects.
Yohimbine, a constituent of yohimbe, has MAO inhibitory effects. At high doses, yohimbine is a non-selective inhibitor of MAO.

Likelihood Likely Evidence D
Antihypertensive Drugs

Theoretically, yohimbe might reduce the effects of antihypertensive drugs.
Yohimbine, a constituent of yohimbe, is an alpha-2 adrenoceptor antagonist and has been reported to increase blood pressure in clinical research. Theoretically, concomitant use of yohimbe and antihypertensive drugs can interfere with blood pressure control.

Likelihood Probable Evidence D
Clonidine (Catapres)

Theoretically, yohimbe might precipitate clonidine withdrawal.
Chronic clonidine use can downregulate alpha-2 adrenoreceptors. Animal research and one human case report suggest that concomitant administration of yohimbine, an alpha-2 adrenoceptor antagonist, may precipitate clonidine withdrawal and lead to sympathomimetic toxicity, including hypertensive crisis.

Likelihood Possible Evidence D
Cytochrome P450 2D6 (Cyp2D6) Inhibitors

CYP2D6 inhibitors may increase the levels and adverse effects of yohimbine, a constituent of yohimbe.
In vitro and clinical research shows that the yohimbe bark constituent, yohimbine, is metabolized by CYP2D6 isoenzymes. Paroxetine, a cytochrome P450 (CYP) 2D6 inhibitor, increases the maximum serum concentration of yohimbine and reduces the clearance of yohimbine compared to yohimbine alone in patients who are extensive CYP2D6 metabolizers..

Likelihood Probable Evidence B
Cytochrome P450 2D6 (Cyp2D6) Substrates

Theoretically, yohimbe might increase the levels and adverse effects of CYP2D6 substrates.
In vitro research suggests that yohimbine, a constituent of yohimbe bark, inhibits CYP2D6 enzyme activity.

Likelihood Possible Evidence D
Cytochrome P450 3A4 (Cyp3A4) Inhibitors

Theoretically, CYP3A4 inhibitors might increase the levels and adverse effects of yohimbine, a constituent of yohimbe bark.
In vitro and clinical research shows that the yohimbe bark constituent, yohimbine, is metabolized by CYP3A4 enzymes. Theoretically, drugs that inhibit CYP3A4 might increase the levels and adverse effects of yohimbine.

Likelihood Possible Evidence D
Paroxetine (Paxil)

Paroxetine decreases the clearance of yohimbine and may increase its effects.
Paroxetine, a cytochrome P450 (CYP) 2D6 inhibitor, increases the maximum serum concentration of yohimbine by about 350% and reduces the clearance of yohimbine by about 80% compared to yohimbine alone in patients who are extensive CYP2D6 metabolizers. No significant changes in pharmacokinetic parameters of yohimbine were observed with coadministration of paroxetine in patients who are poor CYP2D6 metabolizers.

Likelihood Probable Evidence B
Phenothiazines

Theoretically, using yohimbine with phenothiazines might have additive effects.
Yohimbine, a constituent of yohimbe, has alpha-2 adrenergic antagonist effects. Theoretically, combining it with phenothiazines can cause additive alpha-2 adrenergic antagonism.

Likelihood Possible Evidence D
Stimulant Drugs

Theoretically, taking yohimbe with stimulant drugs can have additive effects.
Yohimbine, a constituent of yohimbe, has sympathomimetic effects and increases blood pressure in a dose-dependent manner. Theoretically, taking yohimbe with stimulant drugs can have additive stimulant and hypertensive effects.

Likelihood Possible Evidence D
Tricyclic Antidepressants (Tcas)

Theoretically, taking yohimbe with TCAs can increase adverse effects.
A small clinical study in patients taking TCAs for at least 4 weeks shows that receiving doses of intravenous yohimbine 2.5-20 mg daily for up to 7 days precipitates severe anxiety, agitation, and tremor. The effects of yohimbe bark itself are unclear; oral yohimbe bark contains 0.6% to 1.38% yohimbine, but it is unclear how much is absorbed.

Likelihood Possible Evidence D
Anticoagulant/Antiplatelet Drugs

Theoretically, combining yohimbe bark with antiplatelet or anticoagulant drugs might have additive effects; however, this has not been reported in clinical research.
Research in healthy adults shows that taking yohimbine, a constituent of yohimbe bark, in doses of 8 mg or more, seems to inhibit platelet aggregation in vitro by binding to the alpha-2 adrenoceptor. The effects of yohimbe bark itself are unclear; yohimbe bark contains 0.6% to 1.38% yohimbine, but it is unclear how much is absorbed.

Likelihood Possible Evidence D
Cytochrome P450 1A2 (Cyp1A2) Substrates

Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
In vitro research shows that yohimbe extract induces CYP1A2 enzymes.

Likelihood Possible Evidence D
Cytochrome P450 3A4 (Cyp3A4) Substrates

Theoretically, yohimbe might decrease the levels and clinical effects of CYP3A4 substrates.
In vitro research shows that yohimbe extract induces CYP3A4 enzymes.

Likelihood Possible Evidence D
Yohimbe full monograph & interactions

Advantra Z Citrus aurantium13 drug types · 957 drugs

Midazolam (Versed)

Bitter orange might increase blood levels of midazolam.
One small clinical study shows that bitter orange juice can increase midazolam levels, likely through inhibition of cytochrome P450 3A4 (CYP3A4). Theoretically, bitter orange might increase the risk of midazolam-related adverse effects.

Likelihood Probable Evidence B
Monoamine Oxidase Inhibitors (Maois)

Theoretically, taking MAOIs with synephrine-containing bitter orange preparations might increase the hypertensive effects of synephrine, potentially leading to hypertensive crisis.
Bitter orange contains tyramine, octopamine, and synephrine, which are MAO substrates.

Likelihood Probable Evidence D
Antidiabetes Drugs

Theoretically, bitter orange might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Some clinical research shows that drinking a tea containing bitter orange and Indian snakeroot reduces fasting and postprandial glucose levels in patients with type 2 diabetes who are using antidiabetes drugs. However, it is unclear if these effects are due to bitter orange, Indian snakeroot, or the combination. An animal study also shows that p-synephrine in combination with gliclazide , a sulfonylurea, causes an additional 20% to 44% decrease in glucose levels when compared with gliclazide alone.

Likelihood Possible Evidence B
Caffeine

Bitter orange might increase blood pressure and heart rate when taken with caffeine.
Small clinical studies show that taking bitter orange in combination with caffeine can increase blood pressure and heart rate in otherwise healthy normotensive adults. Theoretically, this might increase the risk of serious cardiovascular adverse effects.

Likelihood Possible Evidence B
Colchicine

Bitter orange might affect colchicine levels.
Colchicine is a substrate of P-glycoprotein and cytochrome P450 3A4 (CYP3A4). Bitter orange has been reported to inhibit CYP3A4 and increase levels of CYP3A4 substrates. However, one small clinical study in healthy adults shows that drinking bitter orange juice 240 mL twice daily for 4 days and taking a single dose of colchicine 0.6 mg on the 4th day decreases colchicine peak serum levels by 24%, time to peak serum level by 1 hour, and overall exposure to colchicine by 20%. The clinical significance of this finding is unclear.

Likelihood Possible Evidence B
Cytochrome P450 3A4 (Cyp3A4) Substrates

Bitter orange might increase levels of drugs metabolized by CYP3A4.
Small clinical studies suggest that single or multiple doses of freshly squeezed bitter orange juice 200-240 mL can inhibit CYP3A4 metabolism of drugs, causing increased drug levels and potentially increasing the risk of adverse effects. However, the extent of the effect of bitter orange on CYP3A4-mediated drug interactions is unknown. Some evidence suggests that bitter orange selectively inhibits intestinal CYP3A4, but not hepatic CYP3A4. Its effect on P-glycoprotein, which strongly overlaps with CYP3A4 interactions, is unclear. One small clinical study shows that drinking 8 ounces of freshly squeezed bitter orange juice has no effect on cyclosporine, which seems to be more dependent on hepatic CYP3A4 and P-glycoprotein than intestinal CYP3A4.

Likelihood Possible Evidence B
Dextromethorphan (Robitussin Dm, Others)

Bitter orange might increase blood levels of dextromethorphan.
One small clinical study shows that bitter orange juice increases dextromethorphan levels, likely through cytochrome P450 3A4 (CYP3A4) inhibition. Theoretically, bitter orange might increase the risk for dextromethorphan-related adverse effects.

Likelihood Possible Evidence B
Felodipine (Plendil)

Bitter orange might increase blood levels of felodipine.
One small clinical study shows that bitter orange juice increases felodipine levels, likely through cytochrome P450 3A4 (CYP3A4) inhibition. Theoretically, bitter orange might increase the risk for felodipine-related adverse effects.

Likelihood Probable Evidence B
Indinavir (Crixivan)

Bitter orange might increase blood levels of indinavir.
One small clinical study shows that bitter orange juice slightly increases indinavir levels, but this effect is likely to be clinically insignificant. Bitter orange selectively inhibits intestinal cytochrome P450 3A4 (CYP3A4); however, the metabolism of indinavir seems to be more dependent on hepatic CYP3A4. The effect of bitter orange on other protease inhibitors has not been studied.

Likelihood Possible Evidence B
Qt Interval-Prolonging Drugs

Theoretically, bitter orange might have an additive effect when combined with drugs that prolong the QT interval, potentially increasing the risk of ventricular arrhythmias.
One case report suggests that taking bitter orange in combination with other stimulants such as caffeine might prolong the QT interval in some patients.

Likelihood Possible Evidence D
Sildenafil (Viagra)

Bitter orange juice might increase blood levels of sildenafil.
A small clinical study in healthy adult males shows that drinking freshly squeezed bitter orange juice 250 mL daily for 3 days and taking a single dose of sildenafil 50 mg on the 3rd day increases the peak plasma concentration of sildenafil by 18% and the overall exposure to sildenafil by 44%. Theoretically, this may be due to inhibition of cytochrome P450 3A4 by bitter orange.

Likelihood Probable Evidence B
Stimulant Drugs

Theoretically, bitter orange might increase the risk of hypertension and adverse cardiovascular effects when taken with stimulant drugs.
Bitter orange appears to have stimulant effects.

Likelihood Possible Evidence B
Cytochrome P450 2D6 (Cyp2D6) Substrates

Theoretically, bitter orange might increase levels of drug metabolized by CYP2D6.
In vitro research shows that octopamine, a constituent of bitter orange, weakly inhibits CYP2D6 enzymes. This effect has not been reported in humans.

Likelihood Possible Evidence D
Advantra Z Citrus aurantium full monograph & interactions

Caffeine Anhydrous41 drug types · 655 drugs

Ephedrine

Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Use of ephedrine with caffeine can increase the risk of stimulatory adverse effects. There is evidence that using ephedrine with caffeine might increase the risk of serious life-threatening or debilitating adverse effects such as hypertension, myocardial infarction, stroke, seizures, and death.

Likelihood Probable Evidence D
Adenosine (Adenocard)

Theoretically, caffeine might decrease the vasodilatory effects of adenosine and interfere with its use prior to stress testing.
Some evidence shows that caffeine is a competitive inhibitor of adenosine and can reduce the vasodilatory effects of adenosine in humans. However, other research shows that caffeine does not seem to affect supplemental adenosine because high interstitial levels of adenosine overcome the antagonistic effects of caffeine. It is recommended that methylxanthines and methylxanthine-containing products be stopped 24 hours prior to pharmacological stress tests. However, methylxanthines appear more likely to interfere with dipyridamole (Persantine) than adenosine-induced stress testing.

Likelihood Possible Evidence B
Anticoagulant/Antiplatelet Drugs

Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Caffeine is reported to have antiplatelet activity. Theoretically, it might increase the risk of bleeding when used concomitantly with these agents; however, this interaction has not been reported in humans.

Likelihood Possible Evidence D
Beta-Adrenergic Agonists

Theoretically, large amounts of caffeine might increase the cardiac inotropic effects of beta-agonists.

Likelihood Probable Evidence D
Carbamazepine (Tegretol)

Theoretically, caffeine might reduce the effects of carbamazepine and increase the risk for convulsions.
Animal research suggests that taking caffeine can lower the anticonvulsant effects of carbamazepine and can induce seizures when taken in doses above 400 mg/kg. Human research has shown that taking caffeine 300 mg in three divided doses along with carbamazepine 200 mg reduces the bioavailability of carbamazepine by 32% and prolongs the plasma half-life of carbamazepine 2-fold in healthy individuals.

Likelihood Possible Evidence D
Cimetidine (Tagamet)

Theoretically, cimetidine might increase the levels and adverse effects of caffeine.
Cimetidine decreases the rate of caffeine clearance by 31% to 42%.

Likelihood Likely Evidence B
Clozapine (Clozaril)

Caffeine might increase the levels and adverse effects of clozapine and acutely exacerbate psychotic symptoms.
Caffeine might increase the effects and toxicity of clozapine. Caffeine doses of 400-1000 mg per day inhibit clozapine metabolism. Clozapine is metabolized by cytochrome P450 1A2 (CYP1A2). Although researchers speculate that caffeine might inhibit CYP1A2, there is no reliable evidence that caffeine affects CYP1A2. There is also speculation that genetic factors might make some patients more sensitive to an interaction between clozapine and caffeine. In one case report, severe, life-threatening clozapine toxicity and multiorgan system failure occurred in a patient with schizophrenia stabilized on clozapine who consumed caffeine 600 mg daily.

Likelihood Possible Evidence B
Dipyridamole (Persantine)

Theoretically, caffeine might decrease the vasodilatory effects of dipyridamole and interfere with its use prior to stress testing.
Caffeine inhibits dipyridamole-induced vasodilation. It is recommended that methylxanthines and methylxanthine-containing products be stopped 24 hours prior to pharmacological stress tests. Methylxanthines appear more likely to interfere with dipyridamole (Persantine) than adenosine-induced stress testing.

Likelihood Probable Evidence B
Disulfiram (Antabuse)

Theoretically, disulfiram use might increase the levels and adverse effects of caffeine.
Disulfiram decreases the rate of caffeine clearance.

Likelihood Probable Evidence B
Diuretic Drugs

Theoretically, using caffeine with diuretic drugs might increase the risk of hypokalemia.
Caffeine, especially in excessive amounts, can reduce potassium levels due to stimulation of the sodium-potassium pump. Diuretics can also cause lower potassium levels.

Likelihood Possible Evidence D
Estrogens

Theoretically, estrogens might increase the levels and adverse effects of caffeine.
Estrogen inhibits caffeine metabolism.

Likelihood Probable Evidence B
Ethosuximide (Zarontin)

Theoretically, caffeine might reduce the effects of ethosuximide and increase the risk for convulsions.
Animal research suggests that caffeine 92.4 mg/kg can decrease the anticonvulsant activity of ethosuximide. However, this effect has not been reported in humans.

Likelihood Possible Evidence D
Felbamate (Felbatol)

Theoretically, caffeine might reduce the effects of felbamate and increase the risk for convulsions.
Animal research suggests that a high dose of caffeine 161.7 mg/kg can decreases the anticonvulsant activity of felbamate. However, this effect has not been reported in humans.

Likelihood Possible Evidence D
Flutamide (Eulexin)

Theoretically, caffeine might increase the levels and adverse effects of flutamide.
In vitro evidence suggests that caffeine can inhibit the metabolism of flutamide. However, this effect has not been reported in humans.

Likelihood Probable Evidence D
Fluvoxamine (Luvox)

Theoretically, fluvoxamine might increase the levels and adverse effects of caffeine.
Fluvoxamine reduces caffeine metabolism.

Likelihood Probable Evidence D
Lithium

Abrupt caffeine withdrawal might increase the levels and adverse effects of lithium.
Caffeine has diuretic activity. When abruptly discontinued, caffeine may alter the clearance of lithium. There are two case reports of lithium tremor that worsened upon abrupt coffee withdrawal and 6 case reports of elevated serum lithium levels after reducing or eliminating caffeine intake. In one case, a male with schizoaffective disorder stabilized on lithium had an elevated lithium level after reducing his caffeine intake by 87%. At a later date, he increased his caffeine intake by 6-fold, resulting in a subtherapeutic lithium level and a recurrence of psychiatric symptoms.

Likelihood Probable Evidence D
Monoamine Oxidase Inhibitors (Maois)

Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Caffeine has been shown to inhibit monoamine oxidase (MAO) A and B in laboratory studies. Concomitant intake of large amounts of caffeine with MAOIs might precipitate a hypertensive crisis. In a case report, a patient that consumed 10-12 cups of caffeinated coffee and took the MAOI tranylcypromine presented with severe hypertension. Hypertension was resolved after the patient switched to drinking decaffeinated coffee.

Likelihood Possible Evidence D
Nicotine

Theoretically, concomitant use might increase the risk of hypertension.
Concomitant use of caffeine and nicotine has been shown to have additive cardiovascular effects, including increased heart rate and blood pressure. Blood pressure was increased by 10.8/12.4 mmHg when the agents were used concomitantly.

Likelihood Probable Evidence B
Pentobarbital (Nembutal)

Theoretically, caffeine might decrease the effects of pentobarbital.
Caffeine might negate the hypnotic effects of pentobarbital.

Likelihood Possible Evidence B
Phenobarbital (Luminal)

Theoretically, caffeine might reduce the effects of phenobarbital and increase the risk for convulsions.
Animal research suggests that caffeine can decrease the anticonvulsant activity of phenobarbital. However, the exact mechanism of this interaction is unclear.

Likelihood Possible Evidence D
Phenylpropanolamine

Theoretically, phenylpropanolamine might increase the risk of hypertension, as well as the levels and adverse effects of caffeine.
Concomitant use of phenylpropanolamine and caffeine might cause an additive increase in blood pressure. Phenylpropanolamine also seems to increase caffeine serum levels.

Likelihood Probable Evidence B
Phenytoin (Dilantin)

Theoretically, caffeine might reduce the effects of phenytoin and increase the risk for convulsions.
Animal research suggests that caffeine can decrease the anticonvulsant activity of phenytoin. The effect does not seem to be related to the seizure threshold-lowering effects of caffeine. However, the exact mechanism of this interaction is unclear.

Likelihood Possible Evidence D
Pioglitazone (Actos)

Theoretically, caffeine might increase the levels and clinical effects of pioglitazone.
Animal research suggests that caffeine can modestly increase the maximum concentration, area under the curve, and half-life of pioglitazone, and also reduce its clearance. This increased the antidiabetic effects of pioglitazone. However, the exact mechanism of this interaction is unclear.

Likelihood Possible Evidence D
Quinolone Antibiotics

Theoretically, quinolone antibiotics might increase the levels and adverse effects of caffeine.
Quinolones (also called fluoroquinolones) can decrease caffeine clearance by inhibiting cytochrome P450 1A2 (CYP1A2) enzyme.

Likelihood Probable Evidence B
Riluzole (Rilutek)

Theoretically, concomitant use might increase the levels and adverse effects of both caffeine and riluzole.
Caffeine and riluzole are both metabolized by cytochrome P450 1A2 (CYP1A2), and concomitant use might reduce the metabolism of one or both agents.

Likelihood Possible Evidence D
Caffeine Anhydrous full monograph & all 41 interactions

R-Beta-Methylphenylethylamine HCl2 drug types · 187 drugs

Monoamine Oxidase Inhibitors (Maois)

Theoretically, taking phenethylamine concomitantly with MAOIs may increase adverse effects.
In humans, phenethylamine is oxidized by MAO-B to form the inactive metabolite phenylacetic acid. Animal research shows that administering an MAOI prior to phenethylamine increases the amphetamine-like effects of phenethylamine. However, low-quality clinical research has used phenethylamine with selegiline, an MAOI, with apparent safety.

Likelihood Possible Evidence D
Serotonergic Drugs

Theoretically, combining serotonergic drugs with phenethylamine might increase the risk of serotonergic adverse effects.
Animal research shows that phenethylamine increases levels of serotonin, norepinephrine, and dopamine. Theoretically, combining serotonergic drugs with phenethylamine might increase the risk of additive serotonergic adverse effects, including serotonin syndrome and cerebral vasoconstrictive disorders. However, low-quality clinical research has used phenethylamine with selegiline, a monoamine oxidase inhibitor (MAOI), with apparent safety.

Likelihood Possible Evidence D
R-Beta-Methylphenylethylamine HCl full monograph & interactions
The maker

Brand information

Manufacturer and brand details for Lipo 6 Black, from the product label.

Nutrex Research

See all Nutrex Research products
Name
Nutrex Research, Inc.
City
Oviedo
State
FL
ZipCode
32765
Phone Number
1-888-368-8739
Web Address
Nutrex.com
Pharmacist Counseling Corner

Lipo 6 Black by Nutrex Research: Common Questions

Does Lipo 6 Black by Nutrex Research interact with any medications?
Yes. Based on its ingredients, Lipo 6 Black has a known interaction with 1,484 medications, including 18 rated major. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Lipo 6 Black contains 11 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Can I take Lipo 6 Black while I'm pregnant or breastfeeding?
No. The yohimbine and alpha-yohimbine in this product should be avoided during pregnancy and breastfeeding because safety data is lacking or they're considered unsafe. Caffeine and bitter orange also aren't recommended in pregnancy at the doses in a supplement like this. If you're pregnant or nursing, talk with your doctor or pharmacist about safe options.
What's actually in this that makes it work for fat loss?
The product contains caffeine and several stimulants (yohimbine, bitter orange) intended to boost metabolism and energy, but the evidence we hold shows insufficient proof that any of these ingredients actually cause weight loss. Caffeine is proven for alertness, but not for fat loss specifically.
Will this keep me awake at night?
Yes, it's very likely. This product contains two forms of caffeine plus additional stimulants (yohimbine and bitter orange). Caffeine commonly causes insomnia and sleep disturbances, especially if you take it late in the day or are sensitive to stimulants.
Is it safe to take this with my other medications?
That depends entirely on what you take. This product has Major-severity interactions with certain medications (like ephedrine, MAOIs, and midazolam) and Moderate interactions with many others including blood pressure drugs, seizure medications, and diabetes medications. Use the medication checker on this page for your specific prescriptions, then confirm with your doctor or pharmacist before starting.
What are the most common side effects I might notice?
Anxiety, jitteriness, tremors, nausea, headache, diarrhea, and insomnia are typical with caffeine and stimulants. Yohimbine can cause agitation, flushing, increased heart rate and blood pressure, and dizziness. Bitter orange may also raise blood pressure and heart rate. If you experience chest discomfort, severe dizziness, or palpitations, stop and contact your doctor.
What's the difference between the two caffeine ingredients in this?
This product contains caffeine anhydrous (pure caffeine) and 1-methyl caffeine (also called methylated caffeine). Both are stimulants and carry the same interactions and side effects; they're just slightly different chemical forms. Together, they add up to a significant total caffeine dose.

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.

Lipo 6 Black label
Go deeper

The Full Monographs Behind Lipo 6 Black’s Ingredients

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

Herb & supplement monograph

Bitter Orange

Interacts with 957 drugs

Bitter orange is a citrus fruit whose extracts contain synephrine, a mild stimulant often added to weight-loss and energy supplements. Evidence that it works for weight loss or performance i...

Read the full Bitter Orange monograph → Herb & supplement monograph

Diiodothyronine

Diiodothyronine (T2) is a thyroid hormone metabolite sold as a fat-loss and metabolism supplement, mostly in the bodybuilding world. Human evidence for its safety and effectiveness is very l...

Read the full Diiodothyronine monograph → Herb & supplement monograph

Yohimbe

Interacts with 1,125 drugs

Yohimbe is a West African tree bark that contains yohimbine, a compound mainly promoted for erectile dysfunction and as an aphrodisiac. A prescription form of yohimbine has some evidence for...

Read the full Yohimbe monograph → Herb & supplement monograph

Phenethylamine (pea)

Interacts with 187 drugs

Phenethylamine (PEA) is a natural compound made in the body and found in foods like chocolate; supplements are marketed for mood, focus, and energy. Reliable human research on the supplement...

Read the full Phenethylamine (pea) monograph → Herb & supplement monograph

Caffeine

Interacts with 655 drugs

Caffeine is a natural stimulant found in coffee, tea, and many other plants and products. In moderate amounts it can boost alertness and reduce tiredness for most healthy adults, but too muc...

Read the full Caffeine monograph →
Sources

Sources & How We Checked

Lipo 6 Black's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

The 389 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.

Caffeine 236 references
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  41. Jung YP, Earnest CP, Koozehchian M, et al. Effects of ingesting a pre-workout dietary supplement with and without synephrine for 8 weeks on training adaptations in resistance-trained males. J Int Soc Sports Nutr. 2017;3;14:1. doi: 10.1186/s12970-016-0158- PubMed
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See these in context on the Bitter Orange monograph →

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See these in context on the Rauwolscine monograph →

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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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