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Dietary supplement

Nattokinase 36 mg Ingredients & Drug Interactions

by Allergy Research Group

Nattokinase 36 mg label
See full label image
Softgel Capsule Category: Non-nutrient/non-botanical
Most serious interaction: Moderate
Clinical methodology reviewed by · Updated Sep 16, 2026 · Label data from the NIH DSLD
What is this page for?

First and foremost: checking Nattokinase 36 mg 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: Moderate

Nattokinase 36 mg is a dietary supplement by Allergy Research Group with 1 active ingredient. Its ingredients are commonly taken for heart and circulatory health, blood clot prevention, high blood pressure.Based on those ingredients, 289 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Nattokinase NSK-SD. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

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Check Your Meds Against Nattokinase 36 mg by Allergy Research Group

Ask about any prescription or over-the-counter medication and we check it for interactions with Nattokinase 36 mg by Allergy Research Group — and tell you which ingredient is responsible.

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HelloPharmacist Scorecard of Nattokinase 36 mg by Allergy Research Group

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 27, 2026

What’s inside

Full disclosure
Ingredient Transparency · database check
Full

Every active ingredient lists its own amount on the label.

Why this rating?
  • The label discloses an exact amount for 1 of its 1 active ingredient.
  • No proprietary blends here — you can verify the dose of every single component.

This product contains one active ingredient: nattokinase (NSK-SD), an enzyme derived from natto (fermented soybeans) at 36 mg per softgel. Nattokinase is a fibrinolytic enzyme — that is, it works to break down fibrin, a protein involved in blood clotting.

The softgel also contains inactive ingredients: soybean oil, gelatin, glycerin, soybean lecithin, glycerin fatty acid ester, and beeswax — these are excipients that hold and deliver the active ingredient.

Does it work?

Not established
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
Not established

The graded evidence we hold for these ingredients covers different conditions than the ones this product is marketed for, so there's no established rating for its stated use — see Nattokinase's own graded uses on its monograph.

Why this rating?
  • The label markets this product for: Heart and circulatory health support.
  • We looked for evidence on: Angina, Atherosclerosis, Cardiovascular disease (CVD), Hyperlipidemia, Hypertension, Peripheral arterial disease (PAD) — and 4 related terms.
  • The closest evidence on file: Nattokinase is rated "Insufficient Reliable Evidence To Rate" for Angina (Natural Medicines).
  • Also on file: Nattokinase is rated "Insufficient Reliable Evidence To Rate" for Atherosclerosis, Cardiovascular disease (CVD), Hyperlipidemia, Hypertension, and more.

The evidence for nattokinase's effectiveness for specific conditions isn't established in the data we hold. Uses listed include angina, atherosclerosis, cancer, cardiovascular disease, and chronic fatigue syndrome, but all are rated as having insufficient reliable evidence to rate.

This doesn't mean it doesn't work — it means the research to date isn't solid enough for us to say one way or the other. If you're considering it for a particular health goal, talk with your doctor about whether the current research supports its use for your situation.

The evidence, ingredient by ingredient Nattokinase

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 1 of the 1 matched ingredient.
  • Pregnancy & breastfeeding safety ratings cover 1 of 1.
  • General safety write-ups exist for 1 of 1.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Nattokinase is generally well tolerated in the short term, but because of its blood-thinning effects, it carries a caution for anyone with a bleeding disorder or high bleeding risk. Rare adverse effects include bleeding — including a serious case of brain bleeding when combined with aspirin — and hypersensitivity reactions (ranging from throat swelling to anaphylaxis) in people allergic to natto or its components.

Safety data in pregnancy is not enough to know either way, so the advice is to avoid it during pregnancy. Breastfeeding safety is also unknown, so it's best avoided then too.

If you're pregnant, planning to become pregnant, or breastfeeding, talk with your doctor or pharmacist before taking this product.

Side effects, ingredient by ingredient Nattokinase

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 1 of the 1 matched ingredient can interact with medications — Nattokinase.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs.
  • For scale: 289 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.

Check before taking this if you're on any blood thinner or antiplatelet drug — aspirin, warfarin, clopidogrel, and others — because nattokinase can increase bleeding risk, and there's a documented case of serious brain bleeding when the two were combined. Also double-check if you take blood pressure medication, since nattokinase may lower pressure on its own.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.

Nattokinase may be worth considering if you're interested in its potential cardiovascular effects and you don't take blood thinners or blood pressure medications. If you do take either of those, or if you have a bleeding disorder, check with your doctor or pharmacist first — the combination risk is real.

Pregnant people and those breastfeeding should avoid it. Either way, run this past your own healthcare provider before you start.

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

Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Jan 22, 2022.

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 Nattokinase 36 mg, straight from the product label.

Brand Allergy Research Group
Barcode (UPC) 713947751002
Net contents 300 Softgel(s)
Market status On market
Date entered into DSLD Jan 22, 2022
DSLD ID 258310
Product type Non-nutrient/non-botanical
Supplement form Softgel Capsule
Dietary claims / uses All Other
Intended target group(s) Vegetarian, 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 Nattokinase 36 mg by Allergy Research Group, 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:
1 Softgel(s)
Maximum serving Sizes:
2 Softgel(s)
Servings per container
150
UPC/BARCODE
713947751002
IngredientAmount% DV
Nattokinase NSK-SD72 mg--

Other ingredients: Soybean Oil, Gelatin, Glycerin, Soybean Lecithin, Glycerin Fatty Acid Ester, Beeswax

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.
Formula

Isolated, purified and encapsulated nattokinase, an enzyme derived from boiled soybeans and a selected, patented strain of Bacillus subtilis natto. Nattokinase NSK-SD is vegetarian, non-irradiated, and free of vitamin K2. Each batch is tested to ensure potency.

NSK-SD 720 FU

Formulation

Nattokinase NSK-SD is vegetarian, non-irradiated, and free of vitamin K2.

Nattokinase NSK-SD is vegetarian, non-irradiated, and free of vitamin K2.

Product of Japan.

Brand IP Statement(s)

NSK-SD is a trademark of Japan BioScience Laboratory.

Suggested/Recommended/Usage/Directions

Suggested Use As a dietary supplement, 1 or 2 softgels three times daily, or as directed by a healthcare practitioner. May be taken with or without food. Take with 8 to 10 ounces of water.

Precautions

If taken with anticoagulant drugs, use under medical supervision.

Contraindicated in any condition associated with bleeding.

Contains: Soy.

FDA Statement of Identity

Dietary Supplement

Storage

Store in a cool, dry place, tightly capped.

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

See for yourself

Nattokinase 36 mg by Allergy Research Group label

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

Nattokinase 36 mg 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 Nattokinase 36 mg by Allergy Research Group

This is the 1 active ingredient this product is made of. Select it to open its full monograph.

Serving size1 Softgel(s) Dosage formSoftgel Capsule Servings per container150 Amounts shown are per serving.

Nattokinase NSK-SD

Interacts with
289 drugs
72 mg per serving Form: Soy

Nattokinase is an enzyme from the fermented soybean food natto that may have mild blood-thinning and blood-flow effects. Some small studies hint at be...

Nattokinase NSK-SD monograph & interactions

Other (inactive) ingredients: Soybean Oil, Gelatin, Glycerin, Soybean Lecithin, Glycerin Fatty Acid Ester, Beeswax. These complete the product’s ingredient list but are not active constituents.

Interaction report

Nattokinase 36 mg by Allergy Research Group Drug Interactions

Want to check YOUR meds against Nattokinase 36 mg?

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
289Drugs
289 Moderate

Ingredients driving the most interactions

Nattokinase NSK-SD 289

Individual Drug Interactions

The ingredients in Nattokinase 36 mg interact with 289 drugs. Click any drug to see the details.

1 of the 1 ingredient in Nattokinase 36 mg interact with drugs. Each result below shows which ingredient is responsible. Nattokinase NSK-SD

Each ingredient & the kinds of drugs it affects

For each ingredient in Nattokinase 36 mg with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.

Nattokinase NSK-SD2 drug types · 289 drugs

Anticoagulant/Antiplatelet Drugs

Nattokinase might increase the risk of bleeding when used with anticoagulant/antiplatelet drugs.
Nattokinase has thrombolytic and anticoagulant effects. There is a case report of intracranial hemorrhage in a patient who added nattokinase to aspirin therapy.

Likelihood Possible Evidence D
Antihypertensive Drugs

Theoretically, nattokinase might increase the risk of hypotension when used with antihypertensive drugs.
Some clinical research suggests that nattokinase may reduce systolic and diastolic blood pressure.

Likelihood Possible Evidence D
Nattokinase NSK-SD full monograph & interactions
The maker

Brand information

Manufacturer and brand details for Nattokinase 36 mg, from the product label.

Allergy Research Group

See all Allergy Research Group products
Name
Allergy Research Group
City
South Salt Lake
State
UT
ZipCode
84115
Phone Number
800.545.9960
Web Address
www.allergyresearchgroup.com
Pharmacist Counseling Corner

Nattokinase 36 mg by Allergy Research Group: Common Questions

Does Nattokinase 36 mg by Allergy Research Group interact with any medications?
Yes. Based on its ingredients, Nattokinase 36 mg has a known interaction with 289 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Nattokinase 36 mg contains a single active ingredient, and that one ingredient can interact with many different medications on its own. We check it against each medication and show the mechanism 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 nattokinase if I'm on aspirin?
Not without talking to your doctor first. Nattokinase has blood-thinning effects, and there's a documented case of a patient who developed brain bleeding after adding nattokinase to aspirin therapy. The combination is a Moderate-severity interaction, so this one needs a conversation with your prescriber before you start.
What is nattokinase, exactly?
It's an enzyme from natto, which is fermented soybeans. Nattokinase breaks down fibrin — a protein involved in blood clotting — so it has blood-thinning and fibrinolytic effects. That's where its therapeutic potential comes from, but also where the interaction risks lie.
Is nattokinase safe during pregnancy?
There isn't enough safety data to know either way, so the advice is to avoid it during pregnancy. If you're pregnant or planning to become pregnant, talk with your doctor or pharmacist for personalized guidance.
Can I take nattokinase if I have high blood pressure?
If you're taking blood pressure medication, you should check with your doctor first. Nattokinase itself may lower blood pressure, so combining it with your medication could push your pressure too low. It's a Moderate-severity interaction that needs a professional review.
What are the side effects?
Nattokinase is generally well tolerated short-term. Rare side effects include bleeding (even serious bleeding in combination with blood thinners) and hypersensitivity reactions — throat swelling, laryngeal swelling, or anaphylaxis — in people allergic to natto or its components. Stop and seek medical attention if you have any signs of bleeding or allergic reaction.
Does nattokinase actually work for heart health?
The evidence in our data isn't strong enough to say. Uses for angina, atherosclerosis, cardiovascular disease, and others are all listed as having insufficient reliable evidence to rate. You'd want to discuss the current research with your doctor before relying on it for a specific condition.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Not sure if Nattokinase 36 mg is safe with your meds?

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Ask a pharmacist

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.

Nattokinase 36 mg label
Go deeper

The Full Monographs Behind Nattokinase 36 mg’s Ingredients

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

Herb & supplement monograph

Nattokinase

Interacts with 289 drugs

Nattokinase is an enzyme from the fermented soybean food natto that may have mild blood-thinning and blood-flow effects. Some small studies hint at benefits for blood pressure and circulatio...

Read the full Nattokinase monograph →
Sources

Sources & How We Checked

Nattokinase 36 mg'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 9 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.

Nattokinase 9 references
  1. Suzuki Y, Kondo K, Matsumoto Y, et al. Dietary supplementation of fermented soybean, natto, suppresses intimal thickening and modulates the lysis of mural thrombi after endothelial injury in rat femoral artery. Life Sci 2003;73:1289-98.. PubMed
  2. Sumi H, Hamada H, Nakanishi K, Hiratani H. Enchancement of fibrinolytic activity in plasma by oral administration of nattokinase. Acta Haematol 1990;84:139-43.
  3. Chang, Y. Y., Liu, J. S., Lai, S. L., Wu, H. S., and Lan, M. Y. Cerebellar hemorrhage provoked by combined use of nattokinase and aspirin in a patient with cerebral microbleeds. Intern Med 2008;47(5):467-469. PubMed
  4. Kim, J. Y., Gum, S. N., Paik, J. K., Lim, H. H., Kim, K. C., Ogasawara, K., Inoue, K., Park, S., Jang, Y., and Lee, J. H. Effects of nattokinase on blood pressure: a randomized, controlled trial. Hypertens.Res 2008;31(8):1583-1588. PubMed
  5. <p>Maruyama M, Sumi H (eds): Effect of natto diet on blood pressure, in Basic and Clinical Aspects of Japanese Traditional Food Natto II. Japan Technology Transfer Association (JTTAS), 1998, pp 1–3.</p>
  6. Kurosawa Y, Nirengi S, Homma T, et al. A single-dose of oral nattokinase potentiates thrombolysis and anti-coagulation profiles. Sci Rep 2015;5:11601. PubMed
  7. Ramachandran L, Aqeel A, Jafri A, Sidhu Y, Mohamed Djirdeh T. Nattokinase-associated hemoperitoneum in an elderly woman. Cureus 2021;13(12):e20074. PubMed
  8. Awatani-Yoshidome K, Hashimoto T, Satoh T. Anaphylaxis from nattokinase in a patient with fermented soybean (natto) allergy. Allergol Int 2022;71(1):153-4. PubMed
  9. Suzuki K, Nakamura M, Sato N, Futamura K, Matsunaga K, Yagami A. Nattokinase, a subtilisin family serine protease, is a novel allergen contained in the traditional Japanese fermented food natto. Allergol Int 2022.

See these in context on the Nattokinase monograph →

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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