Osta 2.0 Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Osta 2.0 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
Osta 2.0 is a dietary supplement by Aesthetic Labs with 4 active ingredients. Its ingredients are commonly taken for heart health, statin-related muscle aches, migraine prevention.Based on those ingredients, 365 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Coenzyme Q10, Saw Palmetto. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Osta 2.0 by Aesthetic Labs
Ask about any prescription or over-the-counter medication and we check it for interactions with Osta 2.0 by Aesthetic Labs — 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
Ask the Pharmacist
A licensed pharmacist will answer your question by email — free, usually within 24 hours.
Got it — thank you!
A licensed pharmacist will answer within 24 hours. Keep an eye on your email (worth checking spam, just in case).
HelloPharmacist Scorecard of Osta 2.0 by Aesthetic Labs
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
Osta 2.0 contains 4 active ingredients. Coenzyme Q10 is an antioxidant your body makes naturally and uses for cell energy.
Saw palmetto is an herbal extract from the saw palmetto berry. The product also contains N-Methyl-D-Aspartic Acid and MK2866.
The remaining ingredients are inactive fillers and capsule material (brown rice flour, magnesium stearate, titanium dioxide, gelatin, and food colorants).
Does it work?
Strong evidence
Coenzyme Q10 is likely effective for replacing deficient CoQ10 in your body, and possibly effective for fibromyalgia, migraine headache, heart failure, and diabetic nerve pain. Saw palmetto is possibly ineffective for benign prostate enlargement and has insufficient evidence for chronic bronchitis and hair loss.
We hold no effectiveness data in our records for N-Methyl-D-Aspartic Acid or MK2866.
How safe is it?
Well-documented data
Coenzyme Q10 is generally well tolerated. The most common side effects are mild gastrointestinal ones—appetite loss, diarrhea, heartburn, nausea, and vomiting—occurring in less than 1% of people.
Headache, dizziness, and insomnia have been reported rarely, and a small number of people have reported skin itching or rash. There is not enough safety data during pregnancy, so it's best to avoid it unless your doctor advises otherwise; safety while breastfeeding has not been well studied.
Saw palmetto is well tolerated and mild side effects are infrequent—they include abdominal pain, constipation, diarrhea, dizziness, fatigue, headache, and nausea. A rare skin reaction and one report of worsening acne have been described.
Very occasionally, heart rhythm changes and high or low blood pressure have been reported. Saw palmetto is likely unsafe in pregnancy and should be avoided; avoid it while breastfeeding due to insufficient safety data.
Meds to double-check
Moderate interaction found
Check your medications if you take warfarin or other blood thinners (anticoagulants or antiplatelet drugs), estrogens, birth control pills, or chemotherapy drugs—especially alkylating agents like cyclophosphamide. Also flag any blood pressure medications you're on, since coenzyme Q10 might lower blood pressure further.
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.
If you take warfarin, estrogens, birth control, or blood-thinning medications, talk to your pharmacist before starting this product. Pregnant or breastfeeding women should not use it.
Coenzyme Q10 and saw palmetto are generally well tolerated, but you'll want to verify your exact medications against the interaction checker first.
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 Oct 25, 2018.
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 Osta 2.0, straight from the product label.
| Brand | Aesthetic Labs |
|---|---|
| Net contents | 90 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Oct 25, 2018 |
| DSLD ID | 181988 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | No Claim |
| Intended target group(s) | Adult (18 - 50 Years) |
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 Osta 2.0 by Aesthetic Labs, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Coenzyme Q10 | 105 mg | -- |
| Saw Palmetto | 300 mg | -- |
| N-Methyl-D-Aspartic Acid | 30 mg | -- |
| MK2866 | 60 mg | -- |
Other ingredients: Brown Rice Flour, Magnesium Stearate, Titanium Dioxide, Gelatin, FD&C Yellow #6, FD&C Green #3
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.
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Osta 2.0 by Aesthetic Labs 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 Osta 2.0 by Aesthetic Labs
These are the 4 active ingredients this product is made of. Select any to open its full monograph.
Serving size3 Capsule(s) Dosage formCapsule Servings per container30 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.
Coenzyme Q10
Interacts with198 drugs
CoQ10 is a vitamin-like substance your body makes naturally that helps cells produce energy and acts as an antioxidant. It is generally well tolerated...
Coenzyme Q10 monograph & interactionsSaw Palmetto
Interacts with174 drugs
Saw palmetto is a plant extract most often used for urinary symptoms linked to an enlarged prostate (BPH). The best research suggests it works no bett...
Saw Palmetto monograph & interactionsN-Methyl-D-Aspartic Acid
MK2866
Other (inactive) ingredients: Brown Rice Flour, Magnesium Stearate, Titanium Dioxide, Gelatin, FD&C Yellow #6, FD&C Green #3. These complete the product’s ingredient list but are not active constituents.
Osta 2.0 by Aesthetic Labs Drug Interactions
HelloPharmacist Interaction Report
Osta 2.0 by Aesthetic Labs contains two ingredients with documented interactions with medications.
Coenzyme Q10 has a moderate interaction with chemotherapy drugs called alkylating agents—it may reduce their effectiveness by protecting tumor cells from the oxidative stress these drugs depend on to work.
Read the full breakdown — every affected drug type, severity by severity
Coenzyme Q10 also moderately interacts with warfarin (a blood thinner), potentially weakening its effect and raising your clot risk; a small number of cases of decreased warfarin effectiveness have been reported. It may slightly lower blood pressure on top of blood pressure medications, though study results conflict on how much.
Saw palmetto moderately interacts with estrogens and birth control pills—it may reduce their effectiveness. It also may increase bleeding risk if you take blood thinners (anticoagulants) or antiplatelet drugs like aspirin.
We could not check the interaction data for N-Methyl-D-Aspartic Acid and MK2866. Altogether, these interactions span 363 individual medications.
Use the medication checker below to look up your exact drugs before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Osta 2.0?
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 Osta 2.0 interact with 365 drugs. Click any drug to see the details.
2 of the 4 ingredients in Osta 2.0 interact with drugs. Each result below shows which ingredient is responsible. Coenzyme Q10 Saw Palmetto
Esomeprazole, NaproxenVimovo
How Esomeprazole, Naproxen interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Saw palmetto might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Saw Palmetto + Esomeprazole, Naproxen interactionEsterified EstrogensEstratab, Menest
How Esterified Estrogens interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Esterified Estrogens interactionEsterified Estrogens, MethyltestosteroneEstratest
How Esterified Estrogens, Methyltestosterone interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Esterified Estrogens, Methyltestosterone interactionEstradiolDivigel, Elestrin, Estrace, Estraderm, Estring, Evamist +6 more
How Estradiol interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Estradiol interactionEstradiol, MedroxyprogesteroneDivitren
How Estradiol, Medroxyprogesterone interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Estradiol, Medroxyprogesterone interactionEstradiol, Norethindrone AcetateActivella
How Estradiol, Norethindrone Acetate interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Estradiol, Norethindrone Acetate interactionEstradiol, NorgestimateOrtho-Prefest
How Estradiol, Norgestimate interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Estradiol, Norgestimate interactionEstradiol, ProgesteroneBijuvanda
How Estradiol, Progesterone interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Estradiol, Progesterone interactionEstramustine Phosphate SodiumEmcyt
How Estramustine Phosphate Sodium interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Coenzyme Q10Alkylating Agents Moderate
Interaction Summary
Coenzyme Q10 has antioxidant effects.
Read the full Coenzyme Q10 + Estramustine Phosphate Sodium interactionEstrogenEstrogen
How Estrogen interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Estrogen interactionEstroneOrtho-Est
How Estrone interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Estrone interactionEstropipateOgen, Ortho EST
How Estropipate interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Estropipate interactionEthiny Estradiol, LevonorgestrelLogynon, Microgynon 30 ED
How Ethiny Estradiol, Levonorgestrel interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens, Contraceptive Drugs Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Ethiny Estradiol, Levonorgestrel interactionEthinyl EstradiolEstinyl
How Ethinyl Estradiol interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Ethinyl Estradiol interactionEthinyl Estradiol, DesogestrelApri, Cesia, Cyclessa, Gedarel, Kariva, Linessa +4 more
How Ethinyl Estradiol, Desogestrel interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens, Contraceptive Drugs Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Ethinyl Estradiol, Desogestrel interactionEthinyl Estradiol, DrospirenoneYaz
How Ethinyl Estradiol, Drospirenone interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoContraceptive Drugs, Estrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of contraceptive drugs.
Read the full Saw Palmetto + Ethinyl Estradiol, Drospirenone interactionEthinyl Estradiol, Ethynodiol DiacetateDemulen 1/35, Demulen 1/50, Demulen Compack, Kelnor 1/35, Zovia, Zovia 1/35 +1 more
How Ethinyl Estradiol, Ethynodiol Diacetate interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens, Contraceptive Drugs Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Ethinyl Estradiol, Ethynodiol Diacetate interactionEthinyl Estradiol, LevonorgestrelAlesse, Alesse 21, Alesse 28, Aviane, Enpresse, Jolessa +18 more
How Ethinyl Estradiol, Levonorgestrel interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens, Contraceptive Drugs Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Ethinyl Estradiol, Levonorgestrel interactionEthinyl Estradiol, NorethindroneAranelle, Brevicon, Brevicon .5/35 21 day, Brevicon .5/35 28 day, Brevicon 1/35 21 day, Brevicon 1/35 28 day +50 more
How Ethinyl Estradiol, Norethindrone interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoContraceptive Drugs, Estrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of contraceptive drugs.
Read the full Saw Palmetto + Ethinyl Estradiol, Norethindrone interactionEthinyl Estradiol, Norethindrone, Ferrous FumarateEstrostep Fe, Femcon FE, Junel Fe 1.5/30, Loestrin Fe, Loestrin Fe 1.5/30, Loestrin Fe 1/20 +3 more
How Ethinyl Estradiol, Norethindrone, Ferrous Fumarate interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens, Contraceptive Drugs Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Ethinyl Estradiol, Norethindrone, Ferrous Fumarate interactionEthinyl Estradiol, NorgestimateCilest, Mononessa, Ortho Tri-Cyclen 28, Ortho Tri-Cyclen Lo, Ortho Tri-Cylcen, Ortho-Cyclen +5 more
How Ethinyl Estradiol, Norgestimate interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoContraceptive Drugs, Estrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of contraceptive drugs.
Read the full Saw Palmetto + Ethinyl Estradiol, Norgestimate interactionEthinyl Estradiol, NorgestrelCryselle, Lo/Ovral, Low-Ogestrel, Ogestrel 0.5/50, Ovral
How Ethinyl Estradiol, Norgestrel interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoEstrogens, Contraceptive Drugs Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of estrogens.
Read the full Saw Palmetto + Ethinyl Estradiol, Norgestrel interactionEthinyl Estradiol, LevonogestrelLybrel
How Ethinyl Estradiol, Levonogestrel interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoContraceptive Drugs, Estrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of contraceptive drugs.
Read the full Saw Palmetto + Ethinyl Estradiol, Levonogestrel interactionEthynodiol Diacetate, MestranolOvulen
How Ethynodiol Diacetate, Mestranol interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoContraceptive Drugs Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of contraceptive drugs.
Read the full Saw Palmetto + Ethynodiol Diacetate, Mestranol interactionEtonogestrelImplanon
How Etonogestrel interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoContraceptive Drugs Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of contraceptive drugs.
Read the full Saw Palmetto + Etonogestrel interactionEtonogestrel, Ethinyl EstradiolNuvaRing
How Etonogestrel, Ethinyl Estradiol interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoContraceptive Drugs, Estrogens Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of contraceptive drugs.
Read the full Saw Palmetto + Etonogestrel, Ethinyl Estradiol interactionFamotidine, IbuprofenDuexis
How Famotidine, Ibuprofen interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Saw palmetto might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Saw Palmetto + Famotidine, Ibuprofen interactionFish Oil TriglyceridesOmegaven
How Fish Oil Triglycerides interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Saw palmetto might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Saw Palmetto + Fish Oil Triglycerides interactionFondaparinuxArixtra
How Fondaparinux interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Saw palmetto might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Read the full Saw Palmetto + Fondaparinux interactionGestodeneMinesse
How Gestodene interacts with Osta 2.0 — through 1 ingredient. Tap an ingredient for the detail:
Saw PalmettoContraceptive Drugs Moderate
Interaction Summary
Saw palmetto might reduce the effectiveness of contraceptive drugs.
Read the full Saw Palmetto + Gestodene interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Osta 2.0 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.
Coenzyme Q10
Alkylating Agents
Coenzyme Q10 has antioxidant effects. Theoretically, this may reduce the activity of chemotherapy drugs that generate free radicals.
Theoretically, antioxidants such as coenzyme Q10 might protect tumor cells from chemotherapeutic agents that work by inducing oxidative stress, such as alkylating agents (e.g., cyclophosphamide) and radiation therapy. The clinical importance of this interaction is unknown.
Warfarin (Coumadin)
Coenzyme Q10 is chemically similar to menaquinone and might have vitamin K-like procoagulant effects, which could decrease the effects of warfarin.
Concomitant use of coenzyme Q10 and warfarin might reduce the anticoagulant effects of warfarin. Four cases of decreased warfarin efficacy thought to be due to coenzyme Q10 have been reported. However, there is some preliminary clinical research that suggests coenzyme Q10 might not significantly decrease the effects of warfarin in patients who have a stable INR.
Antihypertensive Drugs
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Some clinical research shows that coenzyme Q10 can significantly lower blood pressure, although other studies have shown conflicting results.
Saw Palmetto
Anticoagulant/Antiplatelet Drugs
Saw palmetto might increase the risk of bleeding with anticoagulant or antiplatelet drugs.
Saw palmetto is reported to prolong bleeding time. Theoretically, it might increase the risk of bleeding when used concomitantly with anticoagulant or antiplatelet drugs.
Contraceptive Drugs
Saw palmetto might reduce the effectiveness of contraceptive drugs.
Saw palmetto might have antiestrogenic effects. Theoretically, it might interfere with contraceptive drugs taken concomitantly.
Estrogens
Saw palmetto might reduce the effectiveness of estrogens.
Saw palmetto might have antiestrogenic effects. Theoretically, it might interfere with estrogens taken concomitantly.
Brand information
Manufacturer and brand details for Osta 2.0, from the product label.
Osta 2.0 by Aesthetic Labs: Common Questions
Does Osta 2.0 by Aesthetic Labs interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm pregnant or breastfeeding?
What are the most common side effects of CoQ10?
Will saw palmetto affect my birth control?
What is coenzyme Q10 used for?
Will this affect my blood pressure medication?
Is saw palmetto effective for prostate issues?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Osta 2.0 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 Osta 2.0’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Coenzyme Q10
Interacts with 198 drugsCoQ10 is a vitamin-like substance your body makes naturally that helps cells produce energy and acts as an antioxidant. It is generally well tolerated and is most studied for heart condition...
Read the full Coenzyme Q10 monograph → Herb & supplement monographSaw Palmetto
Interacts with 174 drugsSaw palmetto is a plant extract most often used for urinary symptoms linked to an enlarged prostate (BPH). The best research suggests it works no better than a placebo for most men, though i...
Read the full Saw Palmetto monograph →Sources & How We Checked
Osta 2.0'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 62 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.
Coenzyme Q10 40 references
- Kamikawa T, Kobayashi A, Yamashita T, et al. Effects of coenzyme Q10 on exercise tolerance in chronic stable angina pectoris. Am J Cardiol 1985;56:247-51. PubMed
- Langsjoen P, Willis R, Folkers K. Treatment of essential hypertension with coenzyme Q10. Mol Aspects Med 1994;S265-72. PubMed
- Spigset O. Reduced effect of warfarin caused by ubidecarenone. Lancet 1994;334:1372-3. PubMed
- Singh RB, Niaz MA, Rastogi SS, et al. Effect of hydrosoluble coenzyme Q10 on blood pressures and insulin resistance in hypertensive patients with coronary artery disease. J Hum Hypertens 1999;13:203-8. PubMed
- Portakal O, Ozkaya O, Erden Inal M, et al. Coenzyme Q10 concentrations and antioxidant status in tissues of breast cancer patients. Clin Biochem 2000;33:279-84. PubMed
- Lund EL, Quistorff B, Spang-Thomsen M, Kristjansen PE. Effect of radiation therapy on small-cell lung cancer is reduced by ubiquinone intake. Folia Microbiol (Praha) 1998;43:505-6. PubMed
- Langsjoen PH, Langsjoen PH, Folkers K. Long-term efficacy and safety of coenzyme Q10 therapy for idiopathic dilated cardiomyopathy. Am J Cardiol 1990;65:521-3. PubMed
- Heck AM, DeWitt BA, Lukes AL. Potential interactions between alternative therapies and warfarin. Am J Health Syst Pharm 2000;57:1221-7. DOI
- Landbo C, Almdal TP. [Interaction between warfarin and coenzyme Q10]. Ugeskr Laeger 1998;160:3226-7.
- Baggio E, Gandini R, Plauncher AC, et al. Italian multicenter study on the safety and efficacy of coenzyme Q10 as adjunctive therapy in heart failure. CoQ10 Drug Surveillance Investigators. Mol Aspects Med 1994;15 Suppl:S287-94. PubMed
- Burke BE, Neuenschwander R, Olson RD. Randomized, double-blind, placebo-controlled trial of coenzyme Q10 in isolated systolic hypertension. South Med J 2001;94:1112-7. PubMed
- The Huntington Study Group. A randomized, placebo-controlled trial of coenzyme Q10 and remacemide in Huntington's disease. Neurology 2001;57:397-404.
- Hodgson JM, Watts GF, Playford DA, et al. Coenzyme Q10 improves blood pressure and glycaemic control: a controlled trial in subjects with type 2 diabetes. Eur J Clin Nutr 2002;56:1137-42. PubMed
- Singh RB, Neki NS, Kartikey K, et al. Effect of coenzyme Q10 on risk of atherosclerosis in patients with recent myocardial infarction. Mol Cell Biochem 2003;246:75-82. DOI
- Porterfield LM. Why did the response to warfarin change? RN 2000;63:107.
- Sandor PS, Di Clemente L, Coppola G, et al. Efficacy of coenzyme Q10 in migraine prophylaxis: A randomized controlled trial. Neurology 2005;64:713-5. PubMed
- Engelsen J, Nielsen JD, Winther K. Effect of coenzyme Q10 and Ginkgo biloba on warfarin dosage in stable, long-term warfarin treated outpatients. A randomised, double blind, placebo-crossover trial. Thromb Haemost 2002;87:1075-6. DOI
- Berman M, Erman A, Ben-Gal T, et al. Coenzyme Q10 in patients with end-stage heart failure awaiting cardiac transplantation: a randomized, placebo-controlled study. Clin Cardiol 2004;27:295–9. PubMed
- Storch A, Jost WH, Vieregge P, et al. Randomized, double-blind, placebo-controlled trial on symptomatic effects of coenzyme Q10 in Parkinson disease. Arch Neurol 2007;64:938-44. DOI
- Digiesi V, Cantini F, Oradei A, et al. Coenzyme Q10 in essential hypertension. Mol Aspects Med 1994;15 Suppl:s257-63. PubMed
- Yamagami T, Takagi M, Akagami H, et al. Effect of coenzyme Q10 on essential hypertension, a double blind controlled study. In: Folkers KA, Yamamura Y, eds. Biomedical and Clinical Aspects of Coenzyme Q, Vol. 5. Amsterdam: Elsevier Science Publications, 19
- Ho MJ, Bellusci A, Wright JM. Blood pressure lowering efficacy of coenzyme Q10 for primary hypertension (review). Cochrane Database Syst Rev 2009;(4):CD007435. PubMed
- Rosenfeldt, F. L., Haas, S. J., Krum, H., Hadj, A., Ng, K., Leong, J. Y., and Watts, G. F. Coenzyme Q10 in the treatment of hypertension: a meta-analysis of the clinical trials. J Hum.Hypertens. 2007;21(4):297-306. PubMed
- Stamelou, M., Reuss, A., Pilatus, U., Magerkurth, J., Niklowitz, P., Eggert, K. M., Krisp, A., Menke, T., Schade-Brittinger, C., Oertel, W. H., and Hoglinger, G. U. Short-term effects of coenzyme Q10 in progressive supranuclear palsy: a randomized, place DOI
- Keogh A, Fenton S, Leslie C, et al. Randomised double-blind, placebo-controlled trial of coenzyme Q, therapy in class II and III systolic heart failure. Heart Lung Circ. 2003;12:135-41.
- Gane, E. J., Weilert, F., Orr, D. W., Keogh, G. F., Gibson, M., Lockhart, M. M., Frampton, C. M., Taylor, K. M., Smith, R. A., and Murphy, M. P. The mitochondria-targeted anti-oxidant mitoquinone decreases liver damage in a phase II study of hepatitis C
- Lynch, D. R., Perlman, S. L., and Meier, T. A phase 3, double-blind, placebo-controlled trial of idebenone in friedreich ataxia. Arch Neurol. 2010;67(8):941-947. PubMed
- Young, J. M., Florkowski, C. M., Molyneux, S. L., McEwan, R. G., Frampton, C. M., Nicholls, M. G., Scott, R. S., and George, P. M. A randomized, double-blind, placebo-controlled crossover study of coenzyme Q10 therapy in hypertensive patients with the me
- Ishiyama, T., Morita, Y., Toyama, S., Yamagami, T., and Tsukamoto, N. A clinical study of the effect of coenzyme Q on congestive heart failure. Jpn.Heart J 1976;17(1):32-42. PubMed
- Matthews, P. M., Ford, B., Dandurand, R. J., Eidelman, D. H., O'Connor, D., Sherwin, A., Karpati, G., Andermann, F., and Arnold, D. L. Coenzyme Q10 with multiple vitamins is generally ineffective in treatment of mitochondrial disease. Neurology 1993;43(5
- Malm, C., Svensson, M., Sjoberg, B., Ekblom, B., and Sjodin, B. Supplementation with ubiquinone-10 causes cellular damage during intense exercise. Acta Physiol Scand. 1996;157(4):511-512. PubMed
- Singh, R. B., Wander, G. S., Rastogi, A., Shukla, P. K., Mittal, A., Sharma, J. P., Mehrotra, S. K., Kapoor, R., and Chopra, R. K. Randomized, double-blind placebo-controlled trial of coenzyme Q10 in patients with acute myocardial infarction. Cardiovasc. PubMed
- Digiesi V, Cantini F, and Brodbeck B. Effect of coenzyme Q10 on essential arterial hypertension. Current Therapeutic Research 1990;47(5):841-845.
- Parkinson Study Group QE3 Investigators, Beal MF, Oakes D, et al. A randomized clinical trial of high-dosage coenzyme Q10 in early Parkinson disease: no evidence of benefit. JAMA Neurol. 2014;71(5):543-52.
- Alehagen U, Johansson P, Bjornstedt M, et al. Cardiovascular mortality and N-terminal-proBNP reduced after combined selenium and coenzyme Q10 supplementation: A 5-year prospective randomized double-blind placebo-controlled trial among elderly Swedish citi
- Ho MJ, Li EC, Wright JM. Blood pressure lowering efficacy of coenzyme Q10 for primary hypertension. Cochrane Database Syst Rev. 2016 Mar 3;3:CD007435. doi: 10.1002/14651858.CD007435.pub3. PubMed
- Tabrizi R, Akbari M, Sharifi N, Lankarani KB, Moosazadeh M, Kolahdooz F, et al. The effects of coenzyme Q10 supplementation on blood pressures among patients with metabolic diseases: a systematic review and meta-analysis of randomized controlled trials. PubMed
- Tsai IC, Hsu CW, Chang CH, Tseng PT, Chang KV. Effectiveness of coenzyme Q10 supplementation for reducing fatigue: A systematic review and meta-analysis of randomized controlled trials. Front Pharmacol 2022;13:883251. PubMed
- Yaghini O, Hoseini N, Ghazavi MR, et al. A comparative study on the efficacy of coenzyme Q10 and amitriptyline in the prophylactic treatment of migraine headaches in children: A randomized controlled trial. Adv Biomed Res 2022;11:43. PubMed
- Hansen KS, Mogensen TH, Agergaard J, et al. High-dose coenzyme Q10 therapy versus placebo in patients with post COVID-19 condition: A randomized, phase 2, crossover trial. Lancet Reg Health Eur 2022. PubMed
Saw Palmetto 22 references
- Wilt TJ, Ishani A, Stark G, et al. Saw palmetto extracts for treatment of benign prostatic hyperplasia: a systematic review. JAMA 1998;280:1604-9. PubMed
- Carraro JC, Raynaud JP, Koch G, et al. Comparison of phytotherapy (Permixon) with finasteride in the treatment of benign prostate hyperplasia: a randomized international study of 1,098 patients. Prostate 1996;29:231-40. DOI
- Di Silverio F, D'Eramo G, Lubrano C, et al. Evidence that Serenoa repens extract displays an antiestrogenic activity in prostatic tissue of benign prostatic hypertrophy patients. Eur Urol 1992;21:309-14. PubMed
- Stepanov VN, Siniakova LA, Sarrazin B, Raynaud JP. Efficacy and tolerability of the lipidosterolic extract of Serenoa repens (Permixon) in benign prostatic hyperplasia: a double-blind comparison of two dosage regimens. Adv Ther 1999;16:231-41.
- Cheema P, El-Mefty O, Jazieh AR. Intraoperative haemorrhage associated with the use of extract of Saw Palmetto herb: a case report and review of literature. J Intern Med 2001;250:167-9. PubMed
- Jibrin I, Erinle A, Saidi A, Aliyu ZY. Saw palmetto-induced pancreatitis. South Med J 2006;99:611-2. PubMed
- Prager N, Bickett K, French N, Marcovici G. A randomized, double-blind, placebo-controlled trial to determine the effectiveness of botanically derived inhibitors of 5-alpha-reductase in the treatment of androgenetic alopecia. J Altern Complement Med 2002
- Avins AL, Bent S, Staccone S, et al. A detailed safety assessment of a saw palmetto extract. Complement Ther Med 2008;16:147-54. PubMed
- Morgia, G., Mucciardi, G., Gali, A., Madonia, M., Marchese, F., Di, Benedetto A., Romano, G., Bonvissuto, G., Castelli, T., Macchione, L., and Magno, C. Treatment of chronic prostatitis/chronic pelvic pain syndrome category IIIA with Serenoa repens plus
- Aliaev, IuG, Vinarov, A. Z., Lokshin, K. L., and Spivak, L. G. [Efficiency and safety of prostamol-Uno in patients with chronic abacterial prostatitis]. Urologiia. 2006;(1):47-50.
- Agbabiaka, T. B., Pittler, M. H., Wider, B., and Ernst, E. Serenoa repens (saw palmetto): a systematic review of adverse events. Drug Saf 2009;32(8):637-647. PubMed
- Wargo, K. A., Allman, E., and Ibrahim, F. A possible case of saw palmetto-induced pancreatitis. South.Med.J. 2010;103(7):683-685. PubMed
- Lapi, F., Gallo, E., Giocaliere, E., Vietri, M., Baronti, R., Pieraccini, G., Tafi, A., Menniti-Ippolito, F., Mugelli, A., Firenzuoli, F., and Vannacci, A. Acute liver damage due to Serenoa repens: a case report. Br.J.Clin.Pharmacol. 2010;69(5):558-560.
- Mantovani, F. Serenoa repens in benign prostatic hypertrophy: analysis of 2 Italian studies. Minerva Urol.Nefrol. 2010;62(4):335-340.
- Hanaka, M., Yoshii, C., Yatera, K., Ito, C., Chojin, Y., Nagata, S., Yamasaki, K., Nishida, C., Kawanami, T., Kawanami, Y., Ishimoto, H., and Mukae, H. [A case of rhabdomyolysis caused by saw palmetto of healthy foods]. J.UOEH. 6-1-2012;34(2):193-199. PubMed
- Miroddi, M., Carni, A., Mannucci, C., Moleti, M., Navarra, M., and Calapai, G. Hot flashes in a young girl: a wake-up call concerning Serenoa repens use in children. Pediatrics 2012;130(5):e1374-e1376.
- Braeckman J. The extract of Serenoa repens in the treatment of benign prostatic hyperplasia: a multicenter open study. Current Therapeutic Research 1994;55(7):776-785. DOI
- Jipescu D, Patel A, Bohra H, Pientka A. Rare case of saw palmetto induced heart block. JACC 2017;69(11) supplement:2310.
- Morabito P, Miroddi M, Giovinazzo S, Spina E, Calapai G. Serenoa repens as an endocrine disruptor in a 10-year-Old young girl: a new case report. Pharmacology. 2015;96(1-2):41-3. doi: 10.1159/000431327.
- Gammoudi R, Ameur K, Ouni B, et al. Fixed drug eruption to Serenoa repens: first case report and consideration of the use of herbal medicine. Dermatol Ther 2020 Aug 29:e14247.
- Paulis G, Paulis A, Perletti G. Serenoa repens and its effects on male sexual function. A systematic review and meta-analysis of clinical trials. Arch Ital Urol Androl 2021;93(4):475-480. PubMed
- Venkateswaran S, Declet-Bauzo R, Shodeinde M, Gilford P. Postoperative Retroperitoneal Hematoma: A Case of Saw Palmetto and the Importance of Primary Care Intervention. HCA Healthc J Med 2020;1(5):279-282. PubMed
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC