Nicotinamide 1000 mg Ingredients & Drug Interactions
by Biophix
What is this page for?
First and foremost: checking Nicotinamide 1000 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
Nicotinamide 1000 mg is a dietary supplement by Biophix with 1 active ingredient. Its ingredients are commonly taken for acne and skin health, pellagra (niacin deficiency), anti-aging and skin tone.Based on those ingredients, 124 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Nicotinamide. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Nicotinamide 1000 mg by Biophix
Ask about any prescription or over-the-counter medication and we check it for interactions with Nicotinamide 1000 mg by Biophix — 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 Nicotinamide 1000 mg by Biophix
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
Biophix Nicotinamide 1000 mg is a single-ingredient supplement — one 1000 mg tablet of niacinamide (also called nicotinamide), a form of vitamin B3. The inactive ingredients are stearic acid, dicalcium phosphate, rice bran, hydroxypropyl methylcellulose, magnesium stearate, silica, and pharmaceutical glaze, which are fillers, binders, and capsule materials.
Does it work?
Strong evidence
The evidence for niacinamide in this dose is strongest for preventing and treating pellagra (a B3 deficiency disease) — that's rated Likely Effective. There's possible evidence it may help with acne, high phosphate levels in the blood (hyperphosphatemia), osteoarthritis, and type 2 diabetes, though the data aren't yet solid.
For brain tumors, the available evidence suggests it's not effective. If you're taking this for one of those conditions, talk it over with your doctor about what the science actually supports.
How safe is it?
Well-documented data
At normal food amounts and standard prenatal-vitamin doses, niacinamide is well tolerated and considered safe during pregnancy and breastfeeding. High supplemental doses — like the 1000 mg in this tablet — should be discussed with your doctor or pharmacist first, especially if you're pregnant or nursing.
At higher doses, you may experience dizziness, drowsiness, itching, nausea, vomiting, heartburn, or rash. Large doses can also cause stomach upset, flatulence, and diarrhea.
These side effects are generally mild, but they're worth watching for.
Meds to double-check
Moderate interaction found
Check before taking this if you're on blood thinners (anticoagulants) or antiplatelet drugs like warfarin — niacinamide may make them stronger. Also watch if you take seizure medications like carbamazepine or primidone; this supplement may raise their levels.
Use the search tool on this page to check your specific medications.
The bottom line
Scorecard at a glanceFully disclosed formula with strong clinical evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
Nicotinamide 1000 mg is mainly used for pellagra prevention and treatment, with some possible benefit for acne, joint pain, and blood sugar — though the evidence for those isn't strong. The main caution is if you take blood thinners or seizure medications; this supplement may increase their effects.
Before you start, check with your own doctor or pharmacist, especially if you're on any prescription drugs or have plans to become pregnant or breastfeed.
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 Sep 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
General information
Key facts about Nicotinamide 1000 mg, straight from the product label.
| Brand | Biophix |
|---|---|
| Barcode (UPC) | X00161CUPL |
| Net contents | 60 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Sep 22, 2022 |
| DSLD ID | 276051 |
| Product type | Vitamin |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, Adult (18 - 50 Years), Gluten Free, Dairy Free |
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 Nicotinamide 1000 mg by Biophix, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Nicotinamide | 1000 mg | 6250% |
Other ingredients: Stearic Acid, Dicalcium Phosphate, Rice Bran, Hydroxypropyl Methylcellulose, Magnesium Stearate, Silica, Pharmaceutical Glaze
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.
Suggested/Recommended/Usage/Directions
Suggested usage: As a dietary supplement take one tablet daily.
Formula
Nicotinamide is a water-soluble amide of nicotinic acid. It is an essential member of the B-vitamin family and it does not cause a niacin flush. Biophix Maximum Strength Nicotinamide has been formulated to produce a gradual release over a prolonged period of time using a proprietary Micro-Sphere Sustained Release System. Nicotinamide and niacin are two different forms of vitamin B-3.
Maximum Strength Nicotinamide 1,000 mg
High potency vitamin, gluten free
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.
Seals/Symbols
Made in USA Manufactured In A GMP Inspected Facility
Formulation
Made in USA Manufactured In A GMP Inspected Facility
Micro-Sphere Sustained Release System Flush-free sustained release GMP tested
High potency vitamin, gluten free
Vegan
Free from artificial colors, flavoring, sweeteners, and preservatives. Free from the common allergens wheat, corn, soy and milk. Not manufactured with gluten, titanium dioxide, carnauba wax, talc, yeast, hexane. Hypo-allergenic.
Free from artificial colors, flavoring, sweeteners, and preservatives. Free from the common allergens wheat, corn, soy and milk. Not manufactured with gluten, titanium dioxide, carnauba wax, talc, yeast, hexane. Hypo-allergenic.
Gluten free GMO free
GMP tested
FDA Statement of Identity
Dietary Supplement
Precautions
Caution: For adults only.
Consult a physician if pregnant/nursing, taking medication, or have a medical condition.
Keep out of reach of children.
Do not eat freshness packet. Keep in bottle.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Nicotinamide 1000 mg by Biophix 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 Nicotinamide 1000 mg by Biophix
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Sustained Release Tablet(s) Dosage formTablet Or Pill Servings per container60 Amounts shown are per serving.
Nicotinamide
Interacts with124 drugs
Niacinamide (also called nicotinamide) is a form of vitamin B3 used in supplements and skin-care products. It is well established for preventing and t...
Nicotinamide monograph & interactionsOther (inactive) ingredients: Stearic Acid, Dicalcium Phosphate, Rice Bran, Hydroxypropyl Methylcellulose, Magnesium Stearate, Silica, Pharmaceutical Glaze. These complete the product’s ingredient list but are not active constituents.
Nicotinamide 1000 mg by Biophix Drug Interactions
HelloPharmacist Interaction Report
Biophix Nicotinamide 1000 mg interacts with blood thinners, seizure medications, and a few other drug types.
The most serious concern is with blood thinners (anticoagulants) and antiplatelet drugs — niacinamide may add to their effects, which matters especially if you're on hemodialysis. There's a documented case of a patient on warfarin whose blood-thinning level spiked after taking niacinamide 500 mg twice daily.
Read the full breakdown — every affected drug type, severity by severity
Seizure medications carbamazepine and primidone carry a Moderate risk. Niacinamide can raise their blood levels and side effects by slowing how your liver breaks them down.
These interactions were seen mostly in children taking very high doses of niacinamide, so the real-world importance isn't fully clear — but it's worth checking. Altogether, these interactions span 124 individual medications.
Check your exact medications with the search tool on this page before you start, especially if you take any blood thinners or seizure drugs.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Nicotinamide 1000 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 checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Nicotinamide 1000 mg interact with 124 drugs. Click any drug to see the details.
1 of the 1 ingredient in Nicotinamide 1000 mg interact with drugs. Each result below shows which ingredient is responsible. Nicotinamide
AbciximabReoPro
How Abciximab interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Abrocitinib interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Acetaminophen, Ibuprofen interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Acetylsalicylic Acid interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAnacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Anacaulase-bcdb interactionAnagrelideAgrylin
How Anagrelide interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Anagrelide interactionAnisindioneMiradon
How Anisindione interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Anisindione interactionAntithrombin IiiThrombate III
How Antithrombin Iii interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Antithrombin Iii interactionApixabanEliquis
How Apixaban interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Apixaban interactionArgatrobanArgatroban
How Argatroban interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Argatroban interactionAspirinAngettes 75, ASA, Asaphen, Aspirin, Caprin, Cartia +8 more
How Aspirin interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aspirin interactionAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
How Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionAspirin, ButalbitalAxotal
How Aspirin, Butalbital interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aspirin, Butalbital interactionAspirin, Butalbital, CaffeineFiorinal
How Aspirin, Butalbital, Caffeine interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aspirin, Butalbital, Caffeine interactionAspirin, Butalbital, Caffeine, Codeine PhosphateFiorinal w/ Codeine
How Aspirin, Butalbital, Caffeine, Codeine Phosphate interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aspirin, Butalbital, Caffeine, Codeine Phosphate interactionAspirin, Butalbital, Caffeine, PhenacetinMarnal
How Aspirin, Butalbital, Caffeine, Phenacetin interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aspirin, Butalbital, Caffeine, Phenacetin interactionAspirin, CaffeineAnacin
How Aspirin, Caffeine interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aspirin, Caffeine interactionAspirin, Caffeine, Codeine PhosphateAnacin w/ Codeine
How Aspirin, Caffeine, Codeine Phosphate interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aspirin, Caffeine, Codeine Phosphate interactionAspirin, Caffeine, Dihydrocodeine BitartrateSynalgos DC
How Aspirin, Caffeine, Dihydrocodeine Bitartrate interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aspirin, Caffeine, Dihydrocodeine Bitartrate interactionAspirin, Caffeine, Dover's PwdAcedoval, Dovacet
How Aspirin, Caffeine, Dover's Pwd interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aspirin, Caffeine, Dover's Pwd interactionAspirin, Caffeine, HydrocodoneDamason-P
How Aspirin, Caffeine, Hydrocodone interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aspirin, Caffeine, Hydrocodone interactionAspirin, Caffeine, Isobutylallylbarbituric Acid, PhenacetinLanorinal
How Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin interactionAspirin, Caffeine, OrphenadrineInvagesic, Invagesic Forte, Norgesic, Norgesic Forte, Orphengesic, Orphengesic Forte
How Aspirin, Caffeine, Orphenadrine interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aspirin, Caffeine, Orphenadrine interactionAspirin, Caffeine, Phenacetin, PropoxypheneMargesic Comp. 65
How Aspirin, Caffeine, Phenacetin, Propoxyphene interacts with Nicotinamide 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
NicotinamideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Read the full Nicotinamide + Aspirin, Caffeine, Phenacetin, Propoxyphene interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Nicotinamide 1000 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.
Nicotinamide
Anticoagulant/Antiplatelet Drugs
Theoretically, niacinamide may have additive effects when used with anticoagulant or antiplatelet drugs, especially in patients on hemodialysis.
Several cases of thrombocytopenia have been reported for hemodialysis patients treated with niacinamide 1 gram daily. Hemodialysis patients receiving niacinamide had almost a three-fold higher risk of developing thrombocytopenia when compared with those receiving placebo.
Carbamazepine (Tegretol)
Niacinamide might increase the levels and adverse effects of carbamazepine.
Plasma levels of carbamazepine were increased in two children given high-dose niacinamide, 60-80 mg/kg/day. This might be due to inhibition of the cytochrome P450 enzymes involved in carbamazepine metabolism. There is not enough data to determine the clinical significance of this interaction.
Primidone (Mysoline)
Niacinamide might increase the levels and adverse effects of primidone.
Case reports in children suggest niacinamide 60-100 mg/kg/day reduces hepatic metabolism of primidone to phenobarbital, and reduces the overall clearance rate of primidone; however, there is not enough data to determine the clinical significance of this potential interaction.
Warfarin (Coumadin)
There is limited evidence that niacinamide may increase the anticoagulant effects of warfarin.
In a case report, a patient on warfarin developed an elevated international normalized ratio (INR) of 8.4 after taking niacinamide 500 mg twice daily for 10 days. The patient's INR was previously stable, ranging between 2 and 3, with no other changes to current medications or diet reported. The elevated INR returned to the therapeutic range after receiving vitamin K and discontinuing niacinamide.
Brand information
Manufacturer and brand details for Nicotinamide 1000 mg, from the product label.
Biophix
See all Biophix products- Name
- Biophix Health & Nutrition
- Street Address
- 4131 SW 47th Ave. Unit 1404
- City
- Davie
- State
- FL
- ZipCode
- 33314
- Phone Number
- 305-861-0898
- Web Address
- www.biophix.com
Nicotinamide 1000 mg by Biophix: Common Questions
Does Nicotinamide 1000 mg by Biophix interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is nicotinamide safe to take during pregnancy?
Will this help my acne?
What are the most common side effects?
Can I take this if I'm on a blood thinner?
What is nicotinamide used for?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Nicotinamide 1000 mg 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 Nicotinamide 1000 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Nicotinamide 1000 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.
- 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 22 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.
Niacinamide 22 references
- Pozzilli P, Browne PD, Kolb H. Meta-analysis of nicotinamide treatment in patients with recent-onset IDDM. The Nicotinamide Trialists. Diabetes Care 1996;19:1357-63. PubMed
- Greenbaum CJ, Kahn SE, Palmer JP. Nicotinamide's effects on glucose metabolism in subjects at risk for IDDM. Diabetes 1996;45:1631-4. DOI
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline (2000). Washington, DC: National Academy Press, 2000. Available at: http://b
- Anon. Niacinamide Monograph. Alt Med Rev 2002;7:525-9.
- Miralbell R, Mornex F, Greiner R, et al. Accelerated radiotherapy, carbogen, and nicotinamide in glioblastoma multiforme: report of European Organization for Research and Treatment of Cancer trial 22933. J Clin Oncol 1999;17:3143-9. PubMed
- Fatigante L, Ducci F, Cartei F, et al. Carbogen and nicotinamide combined with unconventional radiotherapy in glioblastoma multiforme: a new modality treatment. Int J Radiat Oncol Biol Phys 1997;37:499-504. PubMed
- Hoskin PJ, Stratford MR, Saunders MI, et al. Administration of nicotinamide during chart: pharmacokinetics, dose escalation, and clinical toxicity. Int J Radiat Oncol Biol Phys 1995;32:1111-9. PubMed
- Papa CM. Niacinamide and acanthosis nigricans (letter). Arch Dermatol 1984;120:1281. DOI
- Bourgeois BF, Dodson WE, Ferrendelli JA. Interactions between primidone, carbamazepine, and nicotinamide. Neurology 1982;32:1122-6.
- Visalli N, Cavallo MG, Signore A, et al. A multi-centre randomized trial of two different doses of nicotinamide in patients with recent-onset type 1 diabetes (the IMDIAB VI). Diabetes Metab Res Rev 1999;15:181-5. DOI
- Rottembourg JB, Launay-Vacher V, Massard J. Thrombocytopenia induced by nicotinamide in hemodialysis patients. Kidney Int. 2005;68(6):2911-2. PubMed
- Fabbrocini G, Cantelli M, Monfrecola G. Topical nicotinamide for seborrheic dermatitis: an open randomized study. J Dermatolog Treat. 2014 Jun;25(3):241-5. PubMed
- Khodaeiani E, Fouladi RF, Amirnia M, Saeidi M, Karimi ER. Topical 4% nicotinamide vs. 1% clindamycin in moderate inflammatory acne vulgaris. Int J Dermatol. 2013 Aug;52(8):999-1004. PubMed
- Zhang Y, Ma T, Zhang P. Efficacy and safety of nicotinamide on phosphorus metabolism in hemodialysis patients: A systematic review and meta-analysis. Medicine (Baltimore). 2018;97(41):e12731. PubMed
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