NeuRx-TF Ingredients & Drug Interactions
by Clinical Therapeutic Solutions
What is this page for?
First and foremost: checking NeuRx-TF 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
NeuRx-TF is a dietary supplement by Clinical Therapeutic Solutions with 4 active ingredients. Its ingredients are commonly taken for morning sickness in pregnancy, premenstrual syndrome (pms), preventing or treating b6 deficiency.Based on those ingredients, 467 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Alpha Lipoic Acid, Vitamin B6, Methyl B12. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against NeuRx-TF by Clinical Therapeutic Solutions
Ask about any prescription or over-the-counter medication and we check it for interactions with NeuRx-TF by Clinical Therapeutic Solutions — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of NeuRx-TF by Clinical Therapeutic Solutions
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
NeuRx-TF contains 4 active ingredients. Vitamin B6 (pyridoxine) is a B vitamin involved in nerve function and amino acid metabolism—it's effective for sideroblastic anemia and vitamin B6 deficiency, and possibly helpful for pregnancy-related nausea and high homocysteine levels.
Benfotiamine is a fat-soluble form of thiamine (vitamin B1) that's possibly effective for diabetic nerve damage. Alpha-lipoic acid is an antioxidant possibly effective for diabetic nerve damage, cholesterol levels, and weight management.
Methyl B12 is an active form of vitamin B12, effective for B12 deficiency and certain neurological conditions. The product contains no inactive ingredients or fillers.
Does it work?
Moderate evidence
The evidence for this product's ingredients is mixed. Vitamin B6 is effective for treating sideroblastic anemia and B6 deficiency itself, and possibly effective for pregnancy-related nausea and elevated homocysteine.
Alpha-lipoic acid is possibly effective for diabetic nerve damage, high cholesterol, and obesity. Methyl B12 is effective for B12 deficiency and certain rare conditions.
Benfotiamine is possibly effective for diabetic nerve damage, though evidence for other uses is insufficient. Overall, the strongest evidence supports using these ingredients if you have specific deficiencies or diabetic nerve pain, but results for other conditions are less established.
How safe is it?
Well-documented data
Vitamin B6 is well tolerated at doses below 100 mg daily, with common side effects including headache, nausea, and heartburn. High doses over time can cause nerve damage (sensory neuropathy), especially at 1,000 mg daily or higher.
It is likely safe in pregnancy at normal doses and likely safe while breastfeeding. Alpha-lipoic acid is generally well tolerated and may cause headache, nausea, or heartburn; it can lower blood sugar and should be used under medical guidance.
It is not recommended in pregnancy or while breastfeeding due to insufficient safety data. Methyl B12 is very safe with no established upper limit, and is considered safe in pregnancy and breastfeeding at recommended amounts.
Benfotiamine is generally well tolerated, though long-term safety is not fully known, and safety in pregnancy and breastfeeding has not been well studied.
Meds to double-check
Moderate interaction found
Before taking NeuRx-TF, check with your doctor or pharmacist if you take seizure medications (phenytoin, phenobarbital), blood thinners or antiplatelet drugs, thyroid hormone replacement, chemotherapy, diabetes medications, blood pressure drugs, the heart rhythm drug amiodarone, or Parkinson's disease medications. Altogether, these interactions span 467 individual medications.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
NeuRx-TF may be worth considering if you have diabetic nerve pain, elevated homocysteine, or a documented B vitamin deficiency—talk with your doctor about whether these ingredients fit your situation. If you take seizure medications, blood thinners, thyroid hormone, or diabetes drugs, check with your doctor or pharmacist before starting, since interactions are documented.
Vitamin B6 at high doses can damage nerves over time, so stick to recommended amounts unless your provider advises otherwise.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 4 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 21, 2020.
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 NeuRx-TF, straight from the product label.
| Brand | Clinical Therapeutic Solutions |
|---|---|
| Net contents | 60 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Nov 21, 2020 |
| DSLD ID | 239388 |
| Product type | Other Combinations |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Women (not pregnant or lactating) |
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 NeuRx-TF by Clinical Therapeutic Solutions, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Vitamin B6 | 35 mg | -- |
| Benfotiamine | 300 mg | -- |
| Alpha Lipoic Acid | 350 mg | -- |
| Methyl B12 | 2 mg | -- |
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formulation
Total formulation for peripheral nerve health
Clinical Therapeutic Solutions NeuRx-TF Tablets for nerve function support NeuRx-TF tablets are ideal for nerve function support, as they combine powerful antioxidants that help protect nerve cells from oxidative damage related to aging and environmental stress.
Formula
With Alpha Lipoic Acid 350mg Benfotiamine 300mg Vitamin B6 (Pyridoxal 5 Phosphate) 35mg Vitamin B12 (Methylcobalamin) 2000mcg
As a dietary supplement, NeuRx-TF tablets may help maintain healthy blood sugar levels and are recommended for diabetic patients.
FDA Statement of Identity
Dietary Supplement
General Statements
Dispensed only by physicians
A part of bako's Integrated Physician Solution Professional
NeuRx-TF tablets offers a no-risk, unconditional, direct money-back guarantee from the manufacturer.
Suggested/Recommended/Usage/Directions
Dosing: As a dietary supplement, take 1 tablet twice daily or as directed by a physician.
Precautions
Do not exceed the Recommended Daily Allowance (RDA).
Warnings: Not intended for persons under the age of 18.
Do not use if pregnant or nursing. Consult a health care professional prior to consumption if you have any pre-existing medical conditions or are taking any prescription medication.
Improper use of this product will not improve results and is potentially hazardous to a person's health. Use only as directed.
Keep out of the reach of children.
Do not use this product without a doctor's advice if you are pregnant, think you are pregnant or breast-feeding.
Storage
Store in a cool, dry place.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
NeuRx-TF by Clinical Therapeutic Solutions 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 NeuRx-TF by Clinical Therapeutic Solutions
These are the 4 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Not Present Dosage formTablet Or Pill 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.
Vitamin B6
Interacts with210 drugs
Vitamin B6 (pyridoxine) is an essential water-soluble vitamin that your body needs for metabolism, brain function, and making red blood cells. It is b...
Vitamin B6 monograph & interactionsBenfotiamine
No knowninteractions
Benfotiamine is a man-made, fat-soluble form of vitamin B1 (thiamine) that the body may absorb more easily than regular thiamine. It is mostly studied...
Benfotiamine monograph & interactionsAlpha Lipoic Acid
Interacts with263 drugs
Alpha-lipoic acid (ALA) is an antioxidant made naturally by the body and found in small amounts in foods. It is most studied for diabetic nerve pain,...
Alpha Lipoic Acid monograph & interactionsMethyl B12
Interacts with20 drugs
Vitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very h...
Methyl B12 monograph & interactionsNeuRx-TF by Clinical Therapeutic Solutions Drug Interactions
HelloPharmacist Interaction Report
NeuRx-TF by Clinical Therapeutic Solutions has documented interactions with medications through its vitamin B6, alpha-lipoic acid, and methyl B12 content.
The most serious interaction is a Moderate-severity effect: vitamin B6 may reduce the levels and clinical effects of seizure medications like phenytoin and phenobarbital, possibly by speeding up how your liver breaks them down.
Read the full breakdown — every affected drug type, severity by severity
Vitamin B6 also interacts with blood pressure medications (theoretically additive lowering effects), the heart rhythm drug amiodarone (may worsen sun sensitivity), and levodopa for Parkinson's disease (though not when it's combined with carbidopa). Alpha-lipoic acid can theoretically increase bleeding risk with blood thinners and antiplatelet drugs, and may reduce how well thyroid hormone, chemotherapy drugs, and diabetes medications work.
Methyl B12 may lower blood sugar slightly if you're taking metformin for diabetes.
Benfotiamine, the fourth ingredient, has no interactions documented in our data. We hold no interaction data for it beyond what clinical trials have shown.
You can use the medication checker on this page to see your exact drugs, but it's worth talking with your doctor or pharmacist before starting this product if you take seizure medications, blood thinners, heart rhythm drugs, thyroid hormone, chemotherapy, diabetes medications, or blood pressure drugs.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against NeuRx-TF?
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 NeuRx-TF interact with 467 drugs. Click any drug to see the details.
3 of the 4 ingredients in NeuRx-TF interact with drugs. Each result below shows which ingredient is responsible. Alpha Lipoic Acid Vitamin B6 Methyl B12
AbciximabReoPro
How Abciximab interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Abrocitinib interactionAcebutololRhotral, Sectral
How Acebutolol interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B6 + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Acetaminophen, Ibuprofen interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B6 + Acetazolamide interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Acetylsalicylic Acid interactionAliskirenTekturna
How Aliskiren interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B6 + Aliskiren interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Alteplase, Tpa interactionAltretamineHexalen
How Altretamine interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAlkylating Agents Moderate
Interaction Summary
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of alkylating agents.
Read the full Alpha Lipoic Acid + Altretamine interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B6 + Ambrisentan interactionAmilorideAmilamont, Midamor
How Amiloride interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B6 + Amiloride interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B6 + Amiloride, Hydrochlorothiazide interactionAmiodaroneCordarone, Pacerone
How Amiodarone interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Amiodarone (cordarone) Moderate
Interaction Summary
Theoretically, vitamin B6 might increase the photosensitivity caused by amiodarone.
Read the full Vitamin B6 + Amiodarone interactionAmlodipineNorliqva
How Amlodipine interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B6 + Amlodipine interactionAmlodipine BenzoateKaterzia
How Amlodipine Benzoate interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B6 + Amlodipine Benzoate interactionAmlodipine BesilateIstin
How Amlodipine Besilate interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B6 + Amlodipine Besilate interactionAmlodipine BesylateNorvasc
How Amlodipine Besylate interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B6 + Amlodipine Besylate interactionAmlodipine Besylate, BenazeprilLotrel
How Amlodipine Besylate, Benazepril interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B6 + Amlodipine Besylate, Benazepril interactionAmlodipine, CelecoxibConsensi
How Amlodipine, Celecoxib interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B6 + Amlodipine, Celecoxib interactionAmmonium ChlorideAmmonium Chloride
How Ammonium Chloride interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B6 + Ammonium Chloride interactionAnacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Anacaulase-bcdb interactionAnagrelideAgrylin
How Anagrelide interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Anagrelide interactionAnisindioneMiradon
How Anisindione interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Anisindione interactionAntithrombin IiiThrombate III
How Antithrombin Iii interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Antithrombin Iii interactionApixabanEliquis
How Apixaban interacts with NeuRx-TF — through 1 ingredient. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Apixaban interactionEach ingredient & the kinds of drugs it affects
For each ingredient in NeuRx-TF 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.
Alpha Lipoic Acid
Alkylating Agents
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of alkylating agents.
The use of antioxidants like alpha-lipoic acid during chemotherapy is controversial. There are concerns that antioxidants could reduce the activity of chemotherapy drugs that generate free radicals. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as alpha-lipoic acid have on chemotherapy. Advise patients to consult their oncologist before using alpha-lipoic acid.
Anticoagulant/Antiplatelet Drugs
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In vitro, alpha-lipoic acid inhibits platelet aggregation.
Antitumor Antibiotics
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of antitumor antibiotics.
The use of antioxidants like alpha-lipoic acid during chemotherapy is controversial. There are concerns that antioxidants could reduce the activity of antitumor antibiotic drugs, which work by generating free radicals. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as alpha-lipoic acid have on chemotherapy involving antitumor antibiotics. Advise patients to consult their oncologist before using alpha-lipoic acid.
Thyroid Hormone
Theoretically, alpha-lipoic acid might decrease the effects of thyroid hormone drugs.
Animal research suggests that co-administration of thyroxine with alpha-lipoic acid reduces conversion into the active T3 form.
Antidiabetes Drugs
Theoretically, taking alpha-lipoic acid with antidiabetes drugs might increase the risk of hypoglycemia.
Although some small clinical studies have suggested that alpha-lipoic acid can lower blood glucose levels, larger clinical studies in patients with diabetes have shown no clinically meaningful effect. Additionally, co-administration of single doses of alpha-lipoic acid and glyburide or acarbose did not cause detectable drug interactions in healthy volunteers.
Vitamin B6
Amiodarone (Cordarone)
Theoretically, vitamin B6 might increase the photosensitivity caused by amiodarone.
Despite initial case reports suggesting that pyridoxine may have a protective effect against amiodarone-induced photosensitivity, preliminary clinical research suggests that pyridoxine may actually exacerbate this adverse effect.
Antihypertensive Drugs
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Research in hypertensive rats shows that vitamin B6 can decrease systolic blood pressure. Similarly, clinical research in patients with hypertension shows that taking high doses of vitamin B6 may reduce systolic and diastolic blood pressure, possibly by reducing plasma levels of epinephrine and norepinephrine.
Phenobarbital (Luminal)
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Preliminary clinical evidence suggests that vitamin B6 200 mg daily can reduce plasma levels of phenobarbital, possibly by increasing metabolism. It is not known whether lower doses have any effect. Advise people taking phenobarbital to avoid high doses of vitamin B6.
Phenytoin (Dilantin)
High doses of vitamin B6 may reduce the levels and clinical effects of phenytoin.
Preliminary clinical evidence suggests that vitamin B6 200 mg daily can reduce plasma levels of phenytoin, possibly by increasing metabolism. It is not known whether lower doses have any effect. Advise people taking phenytoin to avoid high doses of vitamin B6.
Levodopa
Vitamin B6 may increase the metabolism of levodopa when taken alone, but not when taken in conjunction with carbidopa.
Vitamin B6 (pyridoxine) enhances the metabolism of levodopa, reducing its clinical effects. However, this interaction does not occur when carbidopa is used concurrently with levodopa (Sinemet). Therefore, it is not likely to be a problem in most people.
Methyl B12
Metformin (Glucophage)
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals. Prolonged use of metformin can interfere with the absorption of B12 in the digestive system, potentially leading to a deficiency in this essential vitamin.
Brand information
Manufacturer and brand details for NeuRx-TF, from the product label.
Clinical Therapeutic Solutions
See all Clinical Therapeutic Solutions products- Name
- Clinical Therapeutic Solutions
NeuRx-TF by Clinical Therapeutic Solutions: Common Questions
Does NeuRx-TF by Clinical Therapeutic Solutions interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm pregnant?
Can I take this while breastfeeding?
Is vitamin B6 in this product safe at high doses?
What does alpha-lipoic acid do?
Does this product work for diabetic neuropathy?
Are there any fillers or inactive ingredients?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if NeuRx-TF is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind NeuRx-TF’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Vitamin B6
Interacts with 210 drugsVitamin B6 (pyridoxine) is an essential water-soluble vitamin that your body needs for metabolism, brain function, and making red blood cells. It is best known for helping with pregnancy-rel...
Read the full Vitamin B6 monograph → Herb & supplement monographBenfotiamine
Benfotiamine is a man-made, fat-soluble form of vitamin B1 (thiamine) that the body may absorb more easily than regular thiamine. It is mostly studied for diabetic nerve problems, but the ev...
Read the full Benfotiamine monograph → Herb & supplement monographAlpha-lipoic Acid
Interacts with 263 drugsAlpha-lipoic acid (ALA) is an antioxidant made naturally by the body and found in small amounts in foods. It is most studied for diabetic nerve pain, where some evidence suggests it may help...
Read the full Alpha-lipoic Acid monograph → Herb & supplement monographVitamin B12
Interacts with 20 drugsVitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very helpful for people who are deficient — su...
Read the full Vitamin B12 monograph →Sources & How We Checked
NeuRx-TF'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 111 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.
Vitamin B6 32 references
- Hansten PD, Horn JR. Drug Interactions Analysis and Management. Vancouver, WA: Applied Therapeutics Inc., 1997 and updates.
- Yates AA, Schlicker SA, Suitor CW. Dietary reference intakes: The new basis for recommendations for calcium and related nutrients, B vitamins, and choline. J Am Diet Assoc 1998;98:699-706. PubMed
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