Meltdown Fat Incinerator Ingredients & Drug Interactions
by VPX
What is this page for?
First and foremost: checking Meltdown Fat Incinerator 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
Meltdown Fat Incinerator is a dietary supplement by VPX with 12 active ingredients. Its ingredients are commonly taken for erectile dysfunction, low sex drive, sexual performance.Based on those ingredients, 1,325 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Yohimbe, Yerba Mate powder extract, Super Synephrine {Beta}-3 Activator. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Meltdown Fat Incinerator by VPX
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HelloPharmacist Scorecard of Meltdown Fat Incinerator by VPX
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
Meltdown Fat Incinerator contains 12 active and inactive ingredients. The active components include caffeine anhydrous (a stimulant for mental alertness and physical performance), yohimbe (an herbal extract containing yohimbine, an alpha-2 adrenergic antagonist), yerba mate powder extract (a caffeinated plant source), methylsynephrine (a cardiac stimulant with beta-agonist activity), and barley (traditionally used for cholesterol support).
The product also contains proprietary blend names—NorEpiphex Alpha2-Andregenic Blockade Complex, Fat Catabolizor & {Beta}-3 Potentiator, Lipolytic Trigger, Super Synephrine {Beta}-3 Activator, and Iphoric Potent Methyl {Beta}-PEA Matrix—whose specific component breakdown is not detailed here. One inactive ingredient, Bioliquid PolyLipid (a polymer-lipid based delivery system), is listed as well.
Does it work?
Strong evidence
The evidence for this product's ingredients is mixed. Caffeine is effective for neonatal apnea and postoperative headaches, and likely effective for boosting mental alertness and athletic performance.
Barley is likely effective for lowering cholesterol and supporting coronary heart disease risk reduction. However, yohimbe, yerba mate, and methylsynephrine all lack reliable evidence to rate their use for the conditions this product appears to target—obesity, fatigue, and sexual function.
Without established effectiveness for the claimed use, it's worth discussing with your doctor whether this product makes sense for your goals.
How safe is it?
Well-documented data
Caffeine is generally well tolerated in moderate amounts but can cause anxiety, insomnia, jitteriness, tremors, nausea, headache, and gastric irritation—especially at higher doses. Yohimbe carries serious safety concerns: it can raise blood pressure unpredictably and cause anxiety, agitation, tremors, nausea, headache, rapid heart rate, and in rare cases hypertensive crisis.
The potency of yohimbe supplements is unpredictable. Methylsynephrine is a stimulant that has not been approved as a supplement and carries known cardiovascular risks, with reported cases of palpitations, arrhythmias, and even cardiac arrest linked to similar products.
Barley is well tolerated but contains gluten and may cause bloating and allergic reactions in sensitive people. Yerba mate, when used in high doses or long-term, may pose risks including insomnia, nausea, and rarely serious effects like abnormal blood sugar or metabolic problems.
Regarding pregnancy: caffeine is rated possibly safe and possibly unsafe (conflicting data), yohimbe is considered unsafe, and yerba mate is possibly unsafe—all warrant discussion with your doctor about safe limits or avoidance. For breastfeeding: small amounts of caffeine pass into breast milk and are usually acceptable with moderation, but yohimbe is unsafe and yerba mate is possibly unsafe.
No safety data is on file for methylsynephrine in pregnancy or breastfeeding.
Meds to double-check
Major interaction found
Before taking this product, check with your doctor or pharmacist if you take any of these: ephedrine or other stimulants (Major interaction risk), monoamine oxidase inhibitors (MAOIs) for depression (Major), blood pressure medications, anticonvulsants (phenobarbital, carbamazepine, valproate, felbamate), clozapine or other antipsychotics, tricyclic antidepressants, sedatives like pentobarbital, drugs metabolized by liver enzymes CYP2D6 or CYP3A4, heart medications including beta-agonist inhalers or dipyridamole, stomach acid reducers (cimetidine), antibiotics (quinolones), antidepressants (fluvoxamine), or the alcohol-deterrent disulfiram. No interactions are documented in our data for the proprietary blends or some individual ingredients listed here because we hold no monograph for them.
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.
This product combines multiple stimulants and herbal extracts with serious interaction and safety concerns—especially if you take heart medications, blood pressure drugs, antidepressants, seizure medications, or MAOIs. The effectiveness for weight loss or fatigue is not well established.
If you're interested in trying it, talk with your doctor or pharmacist first about your full medication list and whether the cardiovascular and stimulant risks are acceptable for you.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 7 of 12 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
General information
Key facts about Meltdown Fat Incinerator, straight from the product label.
| Brand | VPX |
|---|---|
| Barcode (UPC) | 610764710574 |
| Net contents | 72 Bioliquid(R) Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Nov 25, 2011 |
| DSLD ID | 2008 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| 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 Meltdown Fat Incinerator by VPX, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 9 {Calories} | -- |
| Total Carbohydrates | 0 g | -- |
| Calories from Fat | 9 {Calories} | -- |
| Total Fat | 1 g | 2% |
| Caffeine Anhydrous | 275 mg | -- |
| N-Methyl-Beta-Phenylethylamine | 0 NP | -- |
| Yohimbe | 0 NP | -- |
| Barley | 0 NP | -- |
| Yohimbe | 0 NP | -- |
| NorEpiphex Alpha2-Andregenic Blockade Complex | 9 mg | -- |
| Yohimbe | 0 NP | -- |
| Fat Catabolizor & {Beta}-3Potentiator | 317 mg | -- |
| a-MTTA | 0 NP | -- |
| Yerba Mate powder extract | 0 NP | -- |
| Lipolytic Trigger | 0 NP | -- |
| 3'-5'-cAMP | 0 NP | -- |
| Super Synephrine {Beta}-3 Activator | 20 mg | -- |
| Methyl-Synephrine HCl | 0 NP | -- |
| Iphoric Potent Methyl {Beta}-PEA Matrix | 138 mg | -- |
| R-Beta-Methylphenylethylamine | 0 NP | -- |
| NorEpiphex M-MAOxidizor-l | 20 mg | -- |
Other ingredients: Bioliquid PolyLipid (polymer-lipid based) delivery system
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.
FDA Statement of Identity
DIETARY SUPPLEMENT
Suggested/Recommended/Usage/Directions
RECOMMENDED USE: As a dietary supplement, the maximum recommended serving is three MELTDOWN(R) capsules. However, begin use with one to two MELTDOWN(R) capsules daily to assess tolerance. Never exceed more than three total capsules daily or in a single dose. As a dietary supplement take MELTDOWN(R) upon awakening.
Precautions
KEEP OUT OF REACH OF CHILDREN.
WARNING: NOT FOR USE BY INDIVIDUALS UNDER THE AGE OF 18 YEARS OR THOSE WITH A MEDICAL CONDITION. DO NOT USE IF PREGNANT OR NURSING. Consult a physician or licensed qualified health care professional before using this product if you have, or have a family history of, heart disease, thyroid disease, diabetes, high blood pressure, depression or other psychiatric condition, glaucoma, difficulty in urinating, prostate enlargement, or seizure disorder, or if you are using a monoamine oxidase inhibitor (MAOI) or any other dietary supplement, prescription drug, or over-the-counter drug containing ephedrine, pseudoephedrine, or phenylpropanolamine (ingredients found in certain allergy, asthma, cough or cold, and weight control products). Do not exceed recommended serving. Exceeding recommended serving may cause adverse health effects. Discontinue use and call a physician or licensed qualified health care professional immediately if you experience rapid heartbeat, dizziness, severe headache, shortness of breath, or other similar symptoms. Individuals who are sensitive to the effects of caffeine or have a medical condtion should consult a licensed health care professional before consuming this product. Do not use this product if you are more than 15 pounds over weight. The consumer assumes total liability if this product is used in a manner inconsistent with label guidelines. Do not use for weight reduction. Do not consume synephrine or caffeine from other sources, including but not limited to coffee, tea, soda and other dietary supplements or medications containing phenylephrine or caffeine. Do not use for more than 8 weeks.
Allergen Warning: Manufactured in a facility that processes milk, soy, wheat, tree nuts and peanuts.
Discontinue use two weeks prior to surgery.
DO NOT PURCHASE IF SAFETY SEAL IS BROKEN OR MISSING.
Warning Statement: Too much caffiene may cause nervousness, irritability, sleeplessness, and occasionally rapid heartbeat. Not recommended for use by children under 18 years of age. One serving of Meltdown provides 275 mg of caffeine which is less than three cups of coffee.
FDA Disclaimer Statement
*These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease.
Storage
PROTECT FROM HEAT, LIGHT AND MOISTURE.
STORE AT 15-25°C (59-77°F)
General Statements
12 FREE! FASTER ACTING LIQUID CAPS
126 lbs 23.1% Body Fat BEFORE 104 lbs 14.8% Body Fat AFTER
222 lbs 12.5% Body Fat 194 lbs 5.27% Body Fat
5 UNIVERSITY STUDIES PROVE WORLD'S
ALL RIGHTS RESERVED.
FAST ACTING LONGEST LASTING FAT BURNER!
FAST ACTING LONGEST LASTING FAT BURNER!*
NEW!
Please visit VPXSPORTS.COM for Study References.
UNIVERSITY PROVEN BURNS FAT FOR 6+ HOURS!*
V001
When used in conjunction with increased exercise and a reduced calorie diet.
WITH ONE SERVING
Brand IP Statement(s)
©2010 VITAL PHARMACEUTICALS, INC.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Meltdown Fat Incinerator by VPX 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 Meltdown Fat Incinerator by VPX
These are the 12 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container24 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.
Fat Catabolizor & {Beta}-3Potentiator
- › Caffeine Anhydrous
- › A-MTTA
- › Yerba Mate powder extract
- › Lipolytic Trigger
- › 3'-5'-cAMP
Super Synephrine {Beta}-3 Activator
Interacts with957 drugs
Bitter orange is a citrus fruit whose extracts contain synephrine, a mild stimulant often added to weight-loss and energy supplements. Evidence that i...
Super Synephrine {Beta}-3 Activator monograph & interactionsIphoric Potent Methyl {Beta}-PEA Matrix
- › N-Methyl-Beta-Phenylethylamine
- › R-Beta-Methylphenylethylamine
NorEpiphex M-MAOxidizor-l
- › Barley
Other (inactive) ingredients: Bioliquid PolyLipid (polymer-lipid based) delivery system. These complete the product’s ingredient list but are not active constituents.
Meltdown Fat Incinerator by VPX Drug Interactions
HelloPharmacist Interaction Report
Meltdown Fat Incinerator by VPX contains caffeine anhydrous, yohimbe (appearing three times in the formula), yerba mate powder extract, and methylsynephrine—ingredients with significant documented interactions.
The most serious concern is a Major interaction: caffeine and yohimbe both interact with ephedrine (a stimulant drug), risking serious heart and blood pressure effects including hypertension and heart attack. Additionally, yohimbe interacts with monoamine oxidase inhibitors (MAOIs), another Major interaction with serious potential consequences.
Read the full breakdown — every affected drug type, severity by severity
Moderate interactions span a broad range. Caffeine may reduce the effects of sedatives (pentobarbital, phenobarbital) and the seizure medication carbamazepine, increasing seizure risk.
It can also increase levels of clozapine (an antipsychotic), interfere with heart stress tests (dipyridamole), and have its own levels boosted by stomach acid reducers (cimetidine), certain antibiotics (quinolones), and antidepressants (fluvoxamine). Yohimbe may weaken blood pressure medications, interact with drugs metabolized by liver enzymes (CYP2D6 and CYP3A4 substrates and inhibitors), worsen effects when combined with other stimulants, and cause severe anxiety and tremors with tricyclic antidepressants.
Methylsynephrine may amplify effects of other stimulants and beta-agonist inhalers. Yerba mate, through its caffeine content, shares similar interactions to caffeine anhydrous plus additional concerns with the seizure drug valproate and felbamate, the alcohol-deterrent disulfiram, and the antidepressant fluvoxamine.
Barley in this product shows a Moderate interaction with the antiparasitic drug triclabendazole, though human evidence is limited. We could not check N-Methyl-Beta-Phenylethylamine, a-MTTA, Lipolytic Trigger, 3'-5'-cAMP, and R-Beta-Methylphenylethylamine because we hold no interaction data for these ingredients.
Alone, that's a broad medication interaction profile. Use the medication checker below with your exact prescriptions and over-the-counter drugs before starting this product, and talk with your doctor or pharmacist about whether it's safe for you.
Altogether, these interactions span 1,289 individual medications.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Meltdown Fat Incinerator?
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 Meltdown Fat Incinerator interact with 1,325 drugs. Click any drug to see the details.
5 of the 12 ingredients in Meltdown Fat Incinerator interact with drugs. Each result below shows which ingredient is responsible. Yohimbe Yerba Mate powder extract Super Synephrine {Beta}-3 Activator Caffeine Anhydrous Barley
AcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Acetaminophen interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Acetaminophen, Butalbital interactionAcetaminophen, ChlorzoxazoneAcetazone Forte, Extra Strength Tylenol Aches & Strains, Parafon Forte
How Acetaminophen, Chlorzoxazone interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Acetaminophen, Chlorzoxazone interactionAcetaminophen, MethocarbamolRobaxacet
How Acetaminophen, Methocarbamol interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Acetaminophen, Methocarbamol interactionAcetaminophen, OrphenadrineOrfenagesic
How Acetaminophen, Orphenadrine interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Acetaminophen, Orphenadrine interactionAcetaminophen, PentazocineTalacen
How Acetaminophen, Pentazocine interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Acetaminophen, Pentazocine interactionAcetaminophen, PhenyltoloxaminePercogesic, Relagesic
How Acetaminophen, Phenyltoloxamine interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Acetaminophen, Phenyltoloxamine interactionAcetaminophen, Phenyltoloxamine, SalicylamideLobac
How Acetaminophen, Phenyltoloxamine, Salicylamide interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Acetaminophen, Phenyltoloxamine, Salicylamide interactionAgomelatineValdoxan
How Agomelatine interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Agomelatine interactionBendamustineBelrapzo, Treanda, Vivimusta
How Bendamustine interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Bendamustine interactionBendamustine HydrochlorideBendeka
How Bendamustine Hydrochloride interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Bendamustine Hydrochloride interactionBirth Control PillsBirth control pills
How Birth Control Pills interacts with Meltdown Fat Incinerator — through 2 ingredients. Tap an ingredient for the detail:
Yerba Mate Powder ExtractContraceptive Drugs Minor
Interaction Summary
Theoretically, contraceptive drugs might increase the levels and adverse effects of the caffeine contained in yerba mate.
Read the full Yerba Mate Powder Extract + Birth Control Pills interactionCaffeine AnhydrousContraceptive Drugs Minor
Interaction Summary
Theoretically, contraceptive drugs might increase the levels and adverse effects of caffeine.
Read the full Caffeine Anhydrous + Birth Control Pills interactionDeferasiroxExjade, Jadenu
How Deferasirox interacts with Meltdown Fat Incinerator — through 2 ingredients. Tap an ingredient for the detail:
Yerba Mate Powder ExtractCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use of CYP1A2 inhibitors and yerba mate might increase levels and adverse effects of the caffeine in yerba mate.
Read the full Yerba Mate Powder Extract + Deferasirox interactionCaffeine AnhydrousCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Caffeine Anhydrous + Deferasirox interactionEthanolEthanol
How Ethanol interacts with Meltdown Fat Incinerator — through 2 ingredients. Tap an ingredient for the detail:
Yerba Mate Powder ExtractAlcohol (ethanol) Minor
Interaction Summary
Theoretically, concomitant use of alcohol and yerba mate might increase levels and adverse effects of the caffeine in yerba mate.
Read the full Yerba Mate Powder Extract + Ethanol interactionCaffeine AnhydrousAlcohol (ethanol) Minor
Interaction Summary
Theoretically, concomitant use might increase levels and adverse effects of caffeine.
Read the full Caffeine Anhydrous + Ethanol interactionFenfluamineFintepla
How Fenfluamine interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Fenfluamine interactionFezolinetantVeozah
How Fezolinetant interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Fezolinetant interactionLactic Acid, Citric Acid, Potassium BitartratePhexxi
How Lactic Acid, Citric Acid, Potassium Bitartrate interacts with Meltdown Fat Incinerator — through 2 ingredients. Tap an ingredient for the detail:
Yerba Mate Powder ExtractContraceptive Drugs Minor
Interaction Summary
Theoretically, contraceptive drugs might increase the levels and adverse effects of the caffeine contained in yerba mate.
Read the full Yerba Mate Powder Extract + Lactic Acid, Citric Acid, Potassium Bitartrate interactionCaffeine AnhydrousContraceptive Drugs Minor
Interaction Summary
Theoretically, contraceptive drugs might increase the levels and adverse effects of caffeine.
Read the full Caffeine Anhydrous + Lactic Acid, Citric Acid, Potassium Bitartrate interactionMethoxsalenOxsoralen, Oxsoralen Ultra
How Methoxsalen interacts with Meltdown Fat Incinerator — through 2 ingredients. Tap an ingredient for the detail:
Caffeine AnhydrousMethoxsalen (oxsoralen), Cytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, methoxsalen might increase the levels and adverse effects of caffeine.
Read the full Caffeine Anhydrous + Methoxsalen interactionYerba Mate Powder ExtractCytochrome P450 1a2 (cyp1a2) Inhibitors, Methoxsalen (oxsoralen) Minor
Interaction Summary
Theoretically, concomitant use of CYP1A2 inhibitors and yerba mate might increase levels and adverse effects of the caffeine in yerba mate.
Read the full Yerba Mate Powder Extract + Methoxsalen interactionNaloxone, PentazocineTalwin Nx
How Naloxone, Pentazocine interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Naloxone, Pentazocine interactionObeticholic AcidOcaliva
How Obeticholic Acid interacts with Meltdown Fat Incinerator — through 2 ingredients. Tap an ingredient for the detail:
Yerba Mate Powder ExtractCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use of CYP1A2 inhibitors and yerba mate might increase levels and adverse effects of the caffeine in yerba mate.
Read the full Yerba Mate Powder Extract + Obeticholic Acid interactionCaffeine AnhydrousCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Caffeine Anhydrous + Obeticholic Acid interactionParacetamolPanadol
How Paracetamol interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Paracetamol interactionPentazocineTalwin
How Pentazocine interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Pentazocine interactionPirfenidoneEsbriet
How Pirfenidone interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Pirfenidone interactionRopiniroleAdartrel, Requip
How Ropinirole interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Ropinirole interactionRopivacaineNaropin
How Ropivacaine interacts with Meltdown Fat Incinerator — through 1 ingredient. Tap an ingredient for the detail:
YohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Ropivacaine interactionTacrineCognex
How Tacrine interacts with Meltdown Fat Incinerator — through 3 ingredients. Tap an ingredient for the detail:
Caffeine AnhydrousCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Caffeine Anhydrous + Tacrine interactionYerba Mate Powder ExtractCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use of CYP1A2 inhibitors and yerba mate might increase levels and adverse effects of the caffeine in yerba mate.
Read the full Yerba Mate Powder Extract + Tacrine interactionYohimbeCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbe + Tacrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Meltdown Fat Incinerator 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.
Yohimbe
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.
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.
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.
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..
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.
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.
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.
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.
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.
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.
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.
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.
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.
Yerba Mate powder extract
Ephedrine
Theoretically, the caffeine in yerba mate might increase the risk for stimulant adverse effects when used concomitantly with ephedrine.
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.
Adenosine (Adenocard)
Theoretically, the caffeine in yerba mate might decrease the vasodilatory effects of adenosine and interfere with its use prior to stress testing.
Yerba mate contains caffeine. 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. Still, some researchers recommend that methylxanthines, such as caffeine, as well as methylxanthine-containing products, should be stopped 24 hours prior to pharmacological stress tests. However, methylxanthines appear more likely to interfere with dipyridamole (Persantine) than adenosine-induced stress testing.
Anticoagulant/Antiplatelet Drugs
Theoretically, the caffeine in yerba mate may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Yerba mate contains caffeine. 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.
Benzodiazepines
Theoretically, the caffeine in yerba mate might reduce the efficacy of benzodiazepines.
Yerba mate contains caffeine. Caffeine can antagonize the anxiolytic effects of benzodiazepines.
Beta-Adrenergic Agonists
Theoretically, the caffeine in yerba mate might increase the cardiac inotropic effects of beta-agonists, especially if taken in large amounts.
Yerba mate contains caffeine. Caffeine can increase cardiac inotropic effects of beta-agonists.
Carbamazepine (Tegretol)
Theoretically, the caffeine in yerba mate might reduce the effects of carbamazepine and increase the risk for convulsions.
Yerba mate contains caffeine. Animal research suggests that 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 two-fold in healthy individuals.
Cimetidine (Tagamet)
Theoretically, cimetidine might increase the levels and adverse effects of the caffeine contained in yerba mate.
Yerba mate contains caffeine. Cimetidine decreases caffeine clearance by 31% to 42%.
Clozapine (Clozaril)
Theoretically, the caffeine in yerba mate might increase the levels and adverse effects of clozapine and acutely exacerbate psychotic symptoms.
Yerba mate contains caffeine. 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.
Dipyridamole (Persantine)
Theoretically, the caffeine in yerba mate might decrease the vasodilatory effects of dipyridamole and interfere with its use prior to stress testing.
Yerba mate contains caffeine. Caffeine inhibits dipyridamole-induced vasodilation. Still, some researchers recommend that methylxanthines, such as caffeine, as well as methylxanthine-containing products, should be stopped 24 hours prior to pharmacological stress. Methylxanthines appear more likely to interfere with dipyridamole (Persantine) than adenosine-induced stress testing.
Disulfiram (Antabuse)
Theoretically, disulfiram might increase the levels and adverse effects of the caffeine in yerba mate.
Yerba mate contains caffeine. Disulfiram decreases the rate of caffeine clearance.
Diuretic Drugs
Theoretically, the caffeine in yerba mate might increase the risk of hypokalemia when used concomitantly with other diuretics.
Yerba mate contains caffeine. Caffeine, especially in excessive amounts, can reduce potassium levels due to stimulation of the sodium-potassium pump. Diuretics can also cause lower potassium levels.
Estrogens
Theoretically, estrogens might increase the levels and adverse effects of the caffeine in yerba mate.
Yerba mate contains caffeine. Estrogen inhibits caffeine metabolism.
Ethosuximide (Zarontin)
Theoretically, the caffeine in yerba mate might reduce the effects of ethosuximide and increase the risk for convulsion.
Yerba mate contains caffeine. Animal research shows that caffeine 92.4 mg/kg can decrease the anticonvulsant activity of ethosuximide. However, this effect has not been reported in humans.
Felbamate (Felbatol)
Theoretically, the caffeine in yerba mate might reduce the effects of felbamate and increase the risk for convulsion.
Yerba mate contains caffeine. Animal research shows 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.
Flutamide (Eulexin)
Theoretically, the caffeine in yerba mate might increase the levels and adverse effects of flutamide.
Yerba mate contains caffeine. In vitro evidence suggests that caffeine can inhibit the metabolism of flutamide. However, this effect has not been reported in humans.
Fluvoxamine (Luvox)
Theoretically, fluvoxamine might increase the levels and adverse effects of the caffeine in yerba mate.
Yerba mate contains caffeine. Fluvoxamine reduces caffeine metabolism.
Lithium
Theoretically, abrupt withdrawal of the caffeine in yerba mate might increase serum lithium levels.
Yerba mate contains caffeine, which has diuretic activity. When abruptly discontinued, it might alter the clearance of lithium. There are two case reports of lithium tremor that worsened upon abrupt coffee withdrawal.
Midazolam (Versed)
Theoretically, use of yerba mate with midazolam might increase midazolam metabolite levels and adverse effects.
In vitro research shows that yerba mate extract containing 6.75% chlorogenic acid significantly inhibits the metabolism of midazolam via inhibition of cytochrome P450 3A4 (CYP3A4).
Monoamine Oxidase Inhibitors (Maois)
Theoretically, the caffeine in yerba mate might increase risk of a hypertensive crisis when used concomitantly with MAOIs.
Yerba mate contains caffeine. 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.
Nicotine
Theoretically, the caffeine in yerba mate might increase risk of hypertension when used concomitantly with nicotine.
Yerba mate contains caffeine. 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.
Pentobarbital (Nembutal)
Theoretically, the caffeine in yerba mate might decrease the effects of pentobarbital.
The caffeine in yerba mate might negate the hypnotic effects of pentobarbital.
Phenobarbital (Luminal)
Theoretically, the caffeine in yerba mate might reduce the effects of phenobarbital and increase the risk for convulsions.
Yerba mate contains caffeine. Animal research suggests that caffeine can decrease the anticonvulsant activity of phenobarbital. However, the exact mechanism of this interaction is unclear.
Phenylpropanolamine
Theoretically, phenylpropanolamine might increase the risk of hypertension as well as the levels and adverse effects of the caffeine in yerba mate.
Yerba mate contains caffeine. Concomitant use of phenylpropanolamine and caffeine might cause an additive increase in blood pressure. Phenylpropanolamine also seems to increase caffeine serum levels.
Phenytoin (Dilantin)
Theoretically, the caffeine in yerba mate might reduce the effects of phenytoin and increase the risk for convulsions.
Yerba mate contains caffeine. 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.
Pioglitazone (Actos)
Theoretically, the caffeine in yerba mate might increase the levels and clinical effects of pioglitazone.
Yerba mate contains caffeine. 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.
Super Synephrine {Beta}-3 Activator
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Caffeine Anhydrous
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.
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.
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.
Beta-Adrenergic Agonists
Theoretically, large amounts of caffeine might increase the cardiac inotropic effects of beta-agonists.
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.
Cimetidine (Tagamet)
Theoretically, cimetidine might increase the levels and adverse effects of caffeine.
Cimetidine decreases the rate of caffeine clearance by 31% to 42%.
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.
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.
Disulfiram (Antabuse)
Theoretically, disulfiram use might increase the levels and adverse effects of caffeine.
Disulfiram decreases the rate of caffeine clearance.
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.
Estrogens
Theoretically, estrogens might increase the levels and adverse effects of caffeine.
Estrogen inhibits caffeine metabolism.
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.
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.
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.
Fluvoxamine (Luvox)
Theoretically, fluvoxamine might increase the levels and adverse effects of caffeine.
Fluvoxamine reduces caffeine metabolism.
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.
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.
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.
Pentobarbital (Nembutal)
Theoretically, caffeine might decrease the effects of pentobarbital.
Caffeine might negate the hypnotic effects of pentobarbital.
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.
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.
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.
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.
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.
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.
Barley
Triclabendazole (Egaten)
Theoretically, barley might decrease the clinical effects of triclabendazole.
Animal research suggests that a diet supplemented with barley can reduce the bioavailability of triclabendazole when taken concomitantly. This effect has not been shown in humans.
Brand information
Manufacturer and brand details for Meltdown Fat Incinerator, from the product label.
Meltdown Fat Incinerator by VPX: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Meltdown Fat Incinerator’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Yohimbe
Interacts with 1,125 drugsYohimbe 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 monographCaffeine
Interacts with 655 drugsCaffeine 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 → Herb & supplement monographYerba Mate
Interacts with 1,086 drugsYerba mate is a caffeine-containing herbal beverage from South America that is widely enjoyed for its stimulating, coffee-like effects. While it is rich in antioxidants and is being studied...
Read the full Yerba Mate monograph → Herb & supplement monographBitter Orange
Interacts with 957 drugsBitter 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 monographMethylsynephrine
Interacts with 191 drugsMethylsynephrine (also called oxilofrine) is a synthetic stimulant sometimes added to weight-loss and pre-workout products, but it is not a legal or approved dietary ingredient in the United...
Read the full Methylsynephrine monograph → Herb & supplement monographBarley
Interacts with 1 drugBarley is a nutritious whole grain that is a good source of soluble fiber called beta-glucan, which has solid evidence for modestly lowering LDL ('bad') cholesterol when eaten regularly. It...
Read the full Barley monograph →Sources & How We Checked
Meltdown Fat Incinerator'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 490 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
- McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
- Harder S, Fuhr U, Staib AH, Wolff T. Ciprofloxacin-caffeine: a drug interaction established using in vivo and in vitro investigations. Am J Med 1989;87:89S-91S. PubMed
- Carbo M, Segura J, De la Torre R, et al. Effect of quinolones on caffeine disposition. Clin Pharmacol Ther 1989;45:234-40. PubMed
- Healy DP, Polk RE, Kanawati L, et al. Interaction between oral ciprofloxacin and caffeine in normal volunteers. Antimicrob Agents Chemother 1989;33:474-8. PubMed
- Mester R, Toren P, Mizrachi I, et al. Caffeine withdrawal increases lithium blood levels. Biol Psychiatry 1995;37:348-50. PubMed
- Jefferson JW. Lithium tremor and caffeine intake: two cases of drinking less and shaking more. J Clin Psychiatry 1988;49:72-3.
- Joeres R, Klinker H, Heusler H, et al. Influence of mexiletine on caffeine elimination. Pharmacol Ther 1987;33:163-9. PubMed
- Vahedi K, Domingo V, Amarenco P, Bousser MG. Ischemic stroke in a sportsman who consumed MaHuang extract and creatine monohydrate for bodybuilding. J Neurol Neurosurg Psychiatr 2000;68:112-3.
- Wakabayashi K, Kono S, Shinchi K, et al. Habitual coffee consumption and blood pressure: A study of self-defense officials in Japan. Eur J Epidemiol 1998;14:669-73. PubMed
- Hodgson JM, Puddey IB, Burke V, et al. Effects on blood pressure of drinking green and black tea. J Hypertens 1999;17:457-63. PubMed
- Rapuri PB, Gallagher JC, Kinyamu HK, Ryschon KL. Caffeine intake increases the rate of bone loss in elderly women and interacts with vitamin D receptor genotypes. Am J Clin Nutr 2001;74:694-700. PubMed
- The National Toxicology Program (NTP). Caffeine. Center for the Evaluation of Risks to Human Reproduction (CERHR). Available at: http://cerhr.niehs.nih.gov/common/caffeine.html.
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