Nicotinamide 500 mg Ingredients & Drug Interactions
by Biophix
What is this page for?
First and foremost: checking Nicotinamide 500 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 500 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 500 mg by Biophix
Ask about any prescription or over-the-counter medication and we check it for interactions with Nicotinamide 500 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 500 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 is a single-ingredient supplement: niacinamide (also called vitamin B3), 500 mg per capsule. It comes in a gelatin capsule with a few standard fillers — cellulose powder, silicon dioxide, and magnesium stearate — to keep it stable and easy to take.
Does it work?
Strong evidence
Niacinamide is likely effective for pellagra (a vitamin B3 deficiency disease). The evidence is weaker for other uses: it's possibly effective for acne, high phosphate levels (hyperphosphatemia), osteoarthritis, and diabetes, but the data on those aren't solid enough to promise results.
For brain tumor, the research suggests it's probably not effective.
How safe is it?
Well-documented data
At normal food amounts and standard prenatal-vitamin doses, niacinamide is well tolerated and considered safe in pregnancy and breastfeeding. High supplemental doses, though, should only be used under a doctor's supervision — they can cause dizziness, drowsiness, itching, stomach upset, headache, and rash.
Large doses are also linked to nausea, vomiting, heartburn, and diarrhea. Skin reactions like rashes and itching may occur but are uncommon.
Meds to double-check
Moderate interaction found
Before you start, double-check if you take blood thinners like warfarin (Moderate risk — niacinamide may boost their effect), antiplatelet drugs, seizure medications including carbamazepine (Tegretol) or primidone (Mysoline), or if you're on hemodialysis. These warrant a quick conversation with your pharmacist or doctor.
The bottom line
Scorecard at a glanceFully disclosed formula with clinical evidence supporting its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
If you're correcting a B3 deficiency or exploring it for acne or joint pain, niacinamide at this dose is generally well tolerated. However, if you take a blood thinner, seizure medication, or antiplatelet drug, check with your pharmacist first — interactions are possible.
Talk to us before starting if you're pregnant, breastfeeding at high doses, or on any prescription medication.
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 Dec 21, 2024.
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 500 mg, straight from the product label.
| Brand | Biophix |
|---|---|
| Barcode (UPC) | X00140DFRB |
| Net contents | 100 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Dec 21, 2024 |
| DSLD ID | 322102 |
| Product type | Vitamin |
| Supplement form | Capsule |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Women (not pregnant or lactating), Gluten Free, Dairy Free, Sugar 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 500 mg by Biophix, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Nicotinamide | 500 mg | 3125% |
Other ingredients: Gelatin, Cellulose, Powder, Silicon Dioxide, Magnesium Stearate
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 capsule daily, preferably with a meal.
Formula
Nicotinamide (Vitamin B-3) is an essential member of the B-vitamin family that must be obtained from the diet. It is the precursor to Niacin, but does not cause the "flush" normally associated with Niacin intake. This form of Vitamin b-3 as Nicotinamide is a water-soluble vitamin. Nicotinamide and niacin are two different forms of vitamin B-3.
Flush-free form of Nicotinic Amide Niacin B-3 Complex vitamin Vitamin
Seals/Symbols
Made in USA
Manufactured in an GMP Inspected Facility
GMP Tested
Formulation
GMO free
Not manufactured with sugar, salt, starch, yeast, wheat, gluten, corn, soy, milk, egg, shellfish or preservatives.
General Statements
Phone: (US) 305-861-0898
FDA Statement of Identity
Dietary Supplement
Precautions
Not manufactured with sugar, salt, starch, yeast, wheat, gluten, corn, soy, milk, egg, shellfish or preservatives. Produced in a GMP facility that processes other ingredients containing these allergens.
Caution: For adults only.
Not to be used by pregnant/lactating women or those with liver problems, stomach ulcers or diabetes unless recommended by your healthcare practitioner.
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.
Nicotinamide 500 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 500 mg by Biophix
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container100 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: Gelatin, Cellulose, Powder, Silicon Dioxide, Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.
Nicotinamide 500 mg by Biophix Drug Interactions
HelloPharmacist Interaction Report
Biophix Nicotinamide 500 mg contains niacinamide, which has documented interactions with several medication types.
The most serious concern is with blood thinners (anticoagulants) like warfarin — niacinamide may boost their effect, raising your bleeding risk. In one case, a patient's blood-thinning level jumped significantly after taking niacinamide 500 mg twice daily for 10 days.
Read the full breakdown — every affected drug type, severity by severity
Niacinamide also interacts with antiplatelet drugs (like aspirin used for heart protection) in a Moderate way, especially if you're on hemodialysis. It can raise levels of two seizure medications — carbamazepine (Tegretol) and primidone (Mysoline) — which could increase their side effects.
Altogether, these interactions span 124 individual medications.
Check your exact prescriptions with the tool below before starting this supplement. If you take a blood thinner, seizure medication, or antiplatelet drug, talk to us or your doctor first.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Nicotinamide 500 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 500 mg interact with 124 drugs. Click any drug to see the details.
1 of the 1 ingredient in Nicotinamide 500 mg interact with drugs. Each result below shows which ingredient is responsible. Nicotinamide
AbciximabReoPro
How Abciximab interacts with Nicotinamide 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 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 500 mg by Biophix: Common Questions
Does Nicotinamide 500 mg by Biophix interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is niacinamide safe to take while I'm pregnant or breastfeeding?
What side effects should I expect from this supplement?
Will this help my acne or joint pain?
What is niacinamide used for?
Can I take this if I'm on a blood thinner?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Nicotinamide 500 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 500 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 500 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
- Ketteler M, Wiecek A, Rosenkranz AR, et al. Efficacy and Safety of a Novel Nicotinamide Modified-Release Formulation in the Treatment of Refractory Hyperphosphatemia in Patients Receiving Hemodialysis-A Randomized Clinical Trial. Kidney Int Rep 2020;6(3): PubMed
- Mainville L, Smilga AS, Fortin PR. Effect of Nicotinamide in Skin Cancer and Actinic Keratoses Chemoprophylaxis, and Adverse Effects Related to Nicotinamide: A Systematic Review and Meta-Analysis. J Cutan Med Surg 2022;26(3):297-308. PubMed
- Nouh AH, Elshahid AR, Kadah AS, Zeyada YA. Topical niacinamide (Nicotinamide) treatment for discoid lupus erythematosus (DLE): A prospective pilot study. J Cosmet Dermatol 2023.
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