OmegaFactors Ultra Prim Ingredients & Drug Interactions
What is this page for?
First and foremost: checking OmegaFactors Ultra Prim 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
OmegaFactors Ultra Prim is a dietary supplement by Natural Factors with 4 active ingredients. Its ingredients are commonly taken for heart health, healthy cooking fat, skin moisturizing.Based on those ingredients, 308 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Evening Primrose Oil, Oleic Acid. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against OmegaFactors Ultra Prim by Natural Factors
Ask about any prescription or over-the-counter medication and we check it for interactions with OmegaFactors Ultra Prim by Natural Factors — 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 OmegaFactors Ultra Prim by Natural Factors
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
OmegaFactors Ultra Prim contains four active ingredients — three fatty acids and an herbal oil. Gamma-linolenic acid, linoleic acid, and oleic acid are fatty compounds that play a role in how your body processes fats and inflammation.
Evening primrose oil, made from the seeds of the evening primrose plant, is a source of gamma-linolenic acid and linoleic acid. The product comes in a softgel capsule, which is the inactive carrier.
Does it work?
Not established
The evidence here is mixed and limited. Oleic acid is rated possibly effective for high cholesterol and heart disease — the research is preliminary, but it points in a promising direction.
Evening primrose oil, however, shows mostly weak evidence: it's rated likely ineffective for mastalgia (breast pain) and possibly ineffective for asthma. For other uses the facts cover — including ADHD, acne, and a few others — there isn't enough reliable evidence to rate it either way.
If you're considering this supplement for a specific reason, talk with your doctor about whether the evidence supports its use for your situation.
How safe is it?
Well-documented data
Evening primrose oil is generally well tolerated in the short term, though long-term safety data are sparse. The most common side effects from oral use are gastrointestinal — abdominal pain, diarrhea, bloating, nausea, and vomiting — plus occasional reports of rash, acne, dizziness, and headache.
Oleic acid in the amounts eaten from foods is safe, but concentrated supplement doses haven't been well studied. For pregnancy, the safety data advise caution.
Evening primrose oil is rated possibly safe during pregnancy and lactation, but the evidence is unclear — some reports raise concerns. Oleic acid from food is considered safe, but supplement-level doses lack good safety data.
If you're pregnant or breastfeeding, talk with your doctor or pharmacist before starting this product.
Meds to double-check
Moderate interaction found
Before taking this product, double-check with your doctor or pharmacist if you take blood thinners or antiplatelet drugs like warfarin or aspirin (Moderate risk of bleeding), lithium (Moderate risk of dropped levels), phenothiazines or other antipsychotics (Moderate risk of seizures), the HIV drug lopinavir/ritonavir (Moderate risk of higher drug levels), blood sugar medications (Moderate risk of lower glucose), or any drug broken down by the CYP2C9 liver enzyme (Minor risk of higher drug levels).
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
OmegaFactors Ultra Prim is a fatty-acid supplement with limited evidence behind it and several important medication interactions to watch for, especially with blood thinners, lithium, antipsychotics, and HIV medications. If you take any prescription drugs, check them against the tool on this page and confirm with your doctor or pharmacist before adding this supplement.
It's generally well tolerated short-term, but long-term safety is less clear.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Aug 26, 2014.
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 OmegaFactors Ultra Prim, straight from the product label.
| Brand | Natural Factors |
|---|---|
| Barcode (UPC) | 068958022031 |
| Net contents | 120 Softgel(s); 1300 mg |
| Market status | On market |
| Date entered into DSLD | Aug 26, 2014 |
| DSLD ID | 36378 |
| Product type | Fat/fatty Acid |
| Supplement form | Softgel Capsule |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), 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 OmegaFactors Ultra Prim by Natural Factors, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 15 {Calories} | -- |
| Calories from Fat | 15 {Calories} | -- |
| Gamma-Linolenic Acid | 125 mg | -- |
| Total Fat | 1.5 Gram(s) | 2% |
| Linoleic Acid | 885 mg | -- |
| Oleic Acid | 80 mg | -- |
| Evening Primrose Oil | 1300 mg | -- |
Other ingredients: Softgel
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: 1 softgel 2–3 times per day or as directed by a health professional.
Precautions
Keep out of the reach of children.
Sealed for your protection. Do not use if seal is broken.
Formula
Ultra Prim(TM) is made from the highest quality evening primrose oil, a natural source of the omega-6 essential fatty acid GLA.
Evening Primrose Oil
A SOURCE OF OMEGA-6 GLA
Brand IP Statement(s)
Ultra Prim(TM) uses an exclusive extraction process that gently crushes the seed to release its nutritional oil without the application of external heat or harmful solvents like alcohol, hexane, and organic chlorines.
General Statements
Manufactured by Natural Factors to ensure safety and potency in accordance with Good Manufacturing Practices (GMP) of the FDA and Health Canada.
PRODUCT OF CANADA
Recyclable container and label.
Formulation
Contains no artificial colors, preservatives, or sweeteners; no dairy, starch, sugar, wheat, gluten, yeast, soy, corn, egg, fish, shellfish, salt, tree nuts, or GMOs.
HEXANE FREE - CHEMICAL FREE
Storage
For freshness, store in a cool, dry place.
Seals/Symbols
Purity&Potency Guaranteed
FDA Statement of Identity
DIETARY SUPPLEMENT
General
R0
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
OmegaFactors Ultra Prim by Natural Factors 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 OmegaFactors Ultra Prim by Natural Factors
These are the 4 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Softgel(s) Dosage formSoftgel Capsule 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.
Gamma-Linolenic Acid
Linoleic Acid
Oleic Acid
Interacts with86 drugs
Oleic acid is a heart-healthy monounsaturated fat found mainly in olive oil, canola oil, avocados, and nuts. As part of a Mediterranean-style diet, it...
Oleic Acid monograph & interactionsEvening Primrose Oil
Interacts with233 drugs
Evening primrose oil is a seed oil rich in gamma-linolenic acid (GLA), an omega-6 fatty acid, that is popularly used for skin conditions, PMS, and bre...
Evening Primrose Oil monograph & interactionsOther (inactive) ingredients: Softgel. These complete the product’s ingredient list but are not active constituents.
OmegaFactors Ultra Prim by Natural Factors Drug Interactions
HelloPharmacist Interaction Report
OmegaFactors Ultra Prim by Natural Factors has documented interactions with several medication types, primarily through its evening primrose oil and oleic acid content.
The most serious concern is a Moderate risk of increased bleeding with blood thinners and antiplatelet drugs (such as warfarin or aspirin), since evening primrose oil may reduce platelet clumping and lengthen bleeding time.
Read the full breakdown — every affected drug type, severity by severity
Evening primrose oil also carries Moderate-severity interactions with lithium — there's a case report of someone whose lithium levels dropped after starting the supplement — and with phenothiazines (antipsychotic medications), where there's concern it could lower seizure threshold. Additionally, it may raise levels of the HIV drug lopinavir/ritonavir.
Oleic acid theoretically increases the effects of blood sugar medications, which could lower your blood glucose more than expected. Evening primrose oil also has a Minor interaction with a broad class of drugs broken down by a liver enzyme called CYP2C9 — many common medications fall into this group.
We could not check two of the four ingredients: gamma-linolenic acid and linoleic acid. Altogether, these interactions span 308 individual medications.
Before you start this supplement, use the search tool below to look up your exact medications, and talk with your doctor or pharmacist about whether it's right for you.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against OmegaFactors Ultra Prim?
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 OmegaFactors Ultra Prim interact with 308 drugs. Click any drug to see the details.
2 of the 4 ingredients in OmegaFactors Ultra Prim interact with drugs. Each result below shows which ingredient is responsible. Evening Primrose Oil Oleic Acid
AbciximabReoPro
How Abciximab interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilCytochrome P450 2c9 (cyp2c9) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose may increase the levels and clinical effects of CYP2C9 substrates.
Read the full Evening Primrose Oil + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Oleic AcidAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, oleic acid might increase the effects of antidiabetes drugs.
Read the full Oleic Acid + Acarbose interactionAcenocoumarolSintrom
How Acenocoumarol interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilPhenothiazines Moderate
Interaction Summary
Theoretically, taking evening primrose oil with phenothiazines might increase the risk of convulsions.
Read the full Evening Primrose Oil + Acepromazine interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilCytochrome P450 2c9 (cyp2c9) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose may increase the levels and clinical effects of CYP2C9 substrates.
Read the full Evening Primrose Oil + Acetaminophen, Ibuprofen interactionAcetohexamideDymelor
How Acetohexamide interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Oleic AcidAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, oleic acid might increase the effects of antidiabetes drugs.
Read the full Oleic Acid + Acetohexamide interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Acetylsalicylic Acid interactionAlbiglutideTanzeum
How Albiglutide interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Oleic AcidAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, oleic acid might increase the effects of antidiabetes drugs.
Read the full Oleic Acid + Albiglutide interactionAlogliptinNesina
How Alogliptin interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Oleic AcidAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, oleic acid might increase the effects of antidiabetes drugs.
Read the full Oleic Acid + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Oleic AcidAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, oleic acid might increase the effects of antidiabetes drugs.
Read the full Oleic Acid + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Oleic AcidAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, oleic acid might increase the effects of antidiabetes drugs.
Read the full Oleic Acid + Alogliptin, Pioglitazone interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilCytochrome P450 2c9 (cyp2c9) Substrates, Phenothiazines Moderate
Interaction Summary
Theoretically, evening primrose may increase the levels and clinical effects of CYP2C9 substrates.
Read the full Evening Primrose Oil + Amitriptyline, Perphenazine interactionAnacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Anacaulase-bcdb interactionAnagrelideAgrylin
How Anagrelide interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Anagrelide interactionAnisindioneMiradon
How Anisindione interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Anisindione interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Oleic AcidAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, oleic acid might increase the effects of antidiabetes drugs.
Read the full Oleic Acid + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionAntithrombin IiiThrombate III
How Antithrombin Iii interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Antithrombin Iii interactionApixabanEliquis
How Apixaban interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Apixaban interactionArgatrobanArgatroban
How Argatroban interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Argatroban interactionAspirinAngettes 75, ASA, Asaphen, Aspirin, Caprin, Cartia +8 more
How Aspirin interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Aspirin interactionAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
How Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionAspirin, ButalbitalAxotal
How Aspirin, Butalbital interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Aspirin, Butalbital interactionAspirin, Butalbital, CaffeineFiorinal
How Aspirin, Butalbital, Caffeine interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Aspirin, Butalbital, Caffeine interactionAspirin, Butalbital, Caffeine, Codeine PhosphateFiorinal w/ Codeine
How Aspirin, Butalbital, Caffeine, Codeine Phosphate interacts with OmegaFactors Ultra Prim — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Oil + Aspirin, Butalbital, Caffeine, Codeine Phosphate interactionEach ingredient & the kinds of drugs it affects
For each ingredient in OmegaFactors Ultra Prim 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.
Evening Primrose Oil
Anticoagulant/Antiplatelet Drugs
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Evening primrose oil contains gamma linolenic acid (GLA). There is preliminary clinical evidence that GLA can reduce platelet aggregation and prolong bleeding time.
Lithium
Theoretically, concomitant use of lithium with evening primrose oil might decrease lithium levels and effects.
In a case report, a patient on a stable dose of lithium for 10 years experienced a reduction in lithium levels after taking evening primrose oil 500 mg daily. Baseline levels were 0.69 mmol/L, which decreased to 0.37 mmol/L after 2 months and 0.23 mmol/L after 3 months of use. Lithium levels increased within 6 weeks of discontinuing evening primrose oil, to 0.73 mmol/L; no clinical effects were noted.
Lopinavir/Ritonavir (Kaletra)
Theoretically, evening primrose oil might increase the levels and effects of lopinavir.
In a case report, an HIV patient who took evening primrose oil (Efamol) along with lopinavir/ritonavir experienced an increase in serum levels of lopinavir to 15.2 mg/L. Six weeks after discontinuing evening primrose oil, levels of lopinavir returned to the normal range of 5-10 mg/L. When re-challenged with evening primrose oil for a week, the patient's lopinavir levels increased from 6.69 to 8.11 mg/L. It is suspected that evening primrose oil increases levels of lopinavir by inhibiting cytochrome P450 3A4 (CYP3A4), which metabolizes lopinavir. However, this effect has not been reported in other research.
Phenothiazines
Theoretically, taking evening primrose oil with phenothiazines might increase the risk of convulsions.
Evening primrose oil contains gamma-linolenic acid (GLA). There is some concern that taking supplements containing GLA might cause seizures, or lower the seizure threshold, when taken with phenothiazines. In one report, three patients with schizophrenia who had received phenothiazines developed EEG changes suggestive of temporal lobe epilepsy after starting treatment with GLA, although none experienced an actual seizure. In another report, two patients with schizophrenia who were stabilized on phenothiazines developed seizures when evening primrose oil 4 grams daily was added. One of these patients had a prior history of seizures. It is unclear whether evening primrose oil had any additive epileptogenic effects with the phenothiazines; there is no evidence that taking evening primrose oil alone causes seizures.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, evening primrose may increase the levels and clinical effects of CYP2C9 substrates.
In vitro research shows that linoleic acid, a constituent of evening primrose oil, inhibits CYP2C9.
Oleic Acid
Antidiabetes Drugs
Theoretically, oleic acid might increase the effects of antidiabetes drugs. Preliminary clinical research in patients with type 2 diabetes taking oral hypoglycemic drugs shows that eating a diet rich in oleic acid from olive oil decreases fasting blood glucose levels when compared to eating a diet rich in linoleic acid from sunflower oil. It is unknown if taking oleic acid supplements would have this effect or if this change is clinically significant. Until more is known, use caution. Dose adjustment may be necessary. Some antidiabetes drugs include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, metformin (Glucophage), pioglitazone (Actos), rosiglitazone (Avandia), and others.
Brand information
Manufacturer and brand details for OmegaFactors Ultra Prim, from the product label.
OmegaFactors Ultra Prim by Natural Factors: Common Questions
Does OmegaFactors Ultra Prim by Natural Factors interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What is evening primrose oil for?
Can I take this if I'm on a blood thinner?
What are the most common side effects?
Is it safe to take while pregnant?
Can I take this with my diabetes medication?
Does this product actually lower cholesterol?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if OmegaFactors Ultra Prim 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 OmegaFactors Ultra Prim’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Oleic Acid
Interacts with 86 drugsOleic acid is a heart-healthy monounsaturated fat found mainly in olive oil, canola oil, avocados, and nuts. As part of a Mediterranean-style diet, it is widely viewed as a healthier replace...
Read the full Oleic Acid monograph → Herb & supplement monographEvening Primrose
Interacts with 233 drugsEvening primrose oil is a seed oil rich in gamma-linolenic acid (GLA), an omega-6 fatty acid, that is popularly used for skin conditions, PMS, and breast pain. The evidence behind most of th...
Read the full Evening Primrose monograph →Sources & How We Checked
OmegaFactors Ultra Prim'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 52 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.
Oleic Acid 19 references
- Madigan C, Ryan M, Owens D, et al. Dietary unsaturated fatty acids in type 2 diabetes: higher levels of postprandial lipoprotein on a linoleic acid-rich sunflower oil diet compared with an oleic acid-rich olive oil diet. Diabetes Care 2000;23:1472-7. PubMed
- Gillingham, L. G., Gustafson, J. A., Han, S. Y., Jassal, D. S., and Jones, P. J. High-oleic rapeseed (canola) and flaxseed oils modulate serum lipids and inflammatory biomarkers in hypercholesterolaemic subjects. Br J Nutr 2011;105(3):417-427. PubMed
- Jones PJ, Senanayake VK, Pu S, Jenkins DJ, Connelly PW, Lamarche B, Couture P, Charest A, Baril-Gravel L, West SG, Liu X, Fleming JA, McCrea CE, Kris-Etherton PM. DHA-enriched high-oleic acid canola oil improves lipid profile and lowers predicted cardiova
- Cater, N. B., Heller, H. J., and Denke, M. A. Comparison of the effects of medium-chain triacylglycerols, palm oil, and high oleic acid sunflower oil on plasma triacylglycerol fatty acids and lipid and lipoprotein concentrations in humans. Am.J Clin.Nutr PubMed
- Mozaffarian D, Clarke R. Quantitative effects on cardiovascular risk factors and coronary heart disease risk of replacing partially hydrogenated vegetable oils with other fats and oils. Eur J Clin Nutr. 2009;63(Suppl 2):S22-33. PubMed
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- FDA completes review of qualified health claim petition for oleic acid and the risk of coronary heart disease. November 2018. Available at: www.fda.gov/Food/NewsEvents/ConstituentUpdates/ucm624758.htm. Accessed January 25, 2019.
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