PREGNOSITOL Ingredients & Drug Interactions
What is this page for?
First and foremost: checking PREGNOSITOL 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
PREGNOSITOL is a dietary supplement by Zazzee Naturals with 3 active ingredients. Its ingredients are commonly taken for preventing neural tube birth defects, treating or preventing folate deficiency, supporting pregnancy health.Based on those ingredients, 126 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Myo-Inositol, Folic Acid. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against PREGNOSITOL by Zazzee Naturals
Ask about any prescription or over-the-counter medication and we check it for interactions with PREGNOSITOL by Zazzee Naturals — 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 PREGNOSITOL by Zazzee Naturals
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
Pregnositol contains three active ingredients: folic acid, myo-inositol, and D-chiro-inositol. Folic acid is a B vitamin needed to prevent folate deficiency and reduce the risk of birth defects like neural tube defects.
The two inositol compounds are sugar-like molecules that may support reproductive health and metabolic function. There are no other inactive ingredients in this powder.
Does it work?
Strong evidence
Folic acid in this product is effective for preventing folate deficiency and likely effective at standard prenatal doses for preventing neural tube birth defects — which is why it's recommended during pregnancy. It's also possibly effective for depression and for reducing certain medication side effects.
The inositol ingredients (myo-inositol and D-chiro-inositol) are possibly effective for polycystic ovary syndrome (PCOS), metabolic syndrome, and preterm labor, though the evidence isn't as strong. For anxiety and depression, the inositols are rated possibly ineffective based on the data we hold.
How safe is it?
Well-documented data
Folic acid is generally well tolerated at recommended doses for most adults and is considered safe during pregnancy at standard prenatal doses to help prevent birth defects. It's also safe at normal recommended doses while breastfeeding.
At lower doses (under 1 mg daily), side effects are rare. At higher doses (5 mg daily or more), some people report abdominal cramps, diarrhea, and rash; at 15 mg daily, bitter taste, confusion, and sleep disturbances have been reported.
The inositol ingredients are generally well tolerated with mostly mild digestive side effects like diarrhea, gas, and nausea. However, inositol use in pregnancy is only possibly safe and should only happen under medical supervision since full safety data aren't established.
There isn't enough reliable information about inositol for lactation, so check with your doctor if you're breastfeeding.
Meds to double-check
Moderate interaction found
Before taking Pregnositol, check with your doctor or pharmacist if you're on seizure medications (phenytoin, phenobarbital, primidone), cancer medications (methotrexate, capecitabine, 5-fluorouracil), the antiparasitic pyrimethamine (Daraprim), or diabetes medications. These are the drug types where documented interactions exist.
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.
Pregnositol is a prenatal-support powder that combines folic acid with two inositol compounds — a reasonable choice if you're trying to conceive or in early pregnancy. The main caution is if you take seizure medications or cancer drugs: those need a conversation with your doctor or pharmacist before you start.
If you're on diabetes medication, mention this product too, since the inositols may lower blood sugar. Talk with your own healthcare provider before adding it to your routine.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 22, 2022.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about PREGNOSITOL, straight from the product label.
| Brand | Zazzee Naturals |
|---|---|
| Barcode (UPC) | X0021XXIL3 |
| Net contents | 16.62 Ounce(s); 471 Gram(s) |
| Market status | On market |
| Date entered into DSLD | Nov 22, 2022 |
| DSLD ID | 277092 |
| Product type | Other Combinations |
| Supplement form | Powder |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, Adult Female (18 - 50 Years), Gluten Free, Dairy Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for PREGNOSITOL by Zazzee Naturals, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Folic Acid | 200 mcg | 83% |
| Myo-Inositol | 2000 mg | -- |
| D-Chiro-Inositol | 50 mg | -- |
Other ingredients: None
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: Take 1 level scoop once per day. A pre-measured scoop is included to ensure perfect serving size. Mix contents with water or other beverage and consume with or in between meals. Stir well until completely dissolved before drinking.
Formula
PREGNOSITOL is a scientifically formulated blend that helps support female fertility and overall reproductive health.
PREGNOSITOL combines the following active ingredients: Myo-inositol has been shown, in numerous studies, to be a natural way to support healthy hormone balance, ovarian function, and egg quality. D-chiro inositol has been shown to enhance the overall effectiveness of myo-inositol when taken in the ideal 40:1 ratio with myo-inositol. Folic acid has a long history as a natural fertility support nutrient. Studies show that folic acid may reduce the risk of birth defects, as well as support healthy fertility.
Optimal 40:1 Inositol Blend Myo-Inositol D-Chiro Inositol Folic Acid
Precautions
Allergen Information: Contains carob derivatives. Not manufactured with wheat, gluten, soy, milk, egg, fish, shellfish, or tree nut ingredients. Produced in a GMP facility that processes other ingredients containing these allergens.
Caution: In case of exceeding the suggested usage, sensitive individuals may experience mild gastrointestinal distress or diarrhea. If this occurs reduce dose to 1/2 level scoop or discontinue use.
Warning: For adults only.
Consult physician if pregnant/nursing, taking medication, or have a medical condition.
Keep out of reach of children.
Do not eat freshness packet. Keep in bottle.
Formulation
Premium grade fertility support Supports female fertility & reproductive health Supports healthy ovarian function
Natural color variation may occur in this product.
Gluten free Non GMO Soy free Dairy free
100% vegan
Not manufactured with wheat, gluten, soy, milk, egg, fish, shellfish, or tree nut ingredients.
FDA Statement of Identity
Dietary Supplement
Storage
Store in a cool, dry place.
General Statements
Please recycle. This product is sold by weight, not volume.
Please recycle.
Brand IP Statement(s)
Caronositol is a registered trademark of BIOSEARCH, S.A.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
Seals/Symbols
GMP Good Manufacturing Practice Consistent Quality Made in USA
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
PREGNOSITOL by Zazzee Naturals 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 PREGNOSITOL by Zazzee Naturals
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size1025.1 Gram(s) Dosage formPowder Servings per container230 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.
Folic Acid
Interacts with40 drugs
Folic acid is the man-made form of vitamin B9 and is one of the most well-studied supplements, especially for preventing serious birth defects when ta...
Folic Acid monograph & interactionsMyo-Inositol
Interacts with86 drugs
Inositol is a sugar alcohol made naturally in the body and found in many foods, and it is sold as a supplement (often myo-inositol) mainly for PCOS, m...
Myo-Inositol monograph & interactionsD-Chiro-Inositol
Interacts with86 drugs
Inositol is a sugar alcohol made naturally in the body and found in many foods, and it is sold as a supplement (often myo-inositol) mainly for PCOS, m...
D-Chiro-Inositol monograph & interactionsOther (inactive) ingredients: None. These complete the product’s ingredient list but are not active constituents.
PREGNOSITOL by Zazzee Naturals Drug Interactions
HelloPharmacist Interaction Report
Zazzee Naturals Pregnositol can interact with medications, primarily through its folic acid content.
The most serious concern is with seizure medications: folic acid may reduce the effectiveness of phenytoin (Dilantin) and phenobarbital (Luminal), or antagonize primidone (Mysoline), potentially increasing seizure risk. If you take any of these, your seizure control needs close monitoring if you start this product.
Read the full breakdown — every affected drug type, severity by severity
Folic acid also interacts with cancer medications. High-dose folic acid may increase toxicity from capecitabine (Xeloda) and 5-fluorouracil, and it can reduce how well methotrexate works as a cancer treatment.
Folic acid may also antagonize pyrimethamine (Daraprim), an antiparasitic medication.
The inositol ingredients (myo-inositol and D-chiro-inositol) can theoretically increase the risk of low blood sugar (hypoglycemia) when combined with diabetes medications, since they lower blood glucose levels.
Additionally, if you're not on any of these drug types, no interactions are documented for the ingredients we could check. That said, check your exact medications with the search tool on this page before you start, and talk it over with your own doctor or pharmacist if you're on a seizure or cancer medication.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against PREGNOSITOL?
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 PREGNOSITOL interact with 126 drugs. Click any drug to see the details.
2 of the 3 ingredients in PREGNOSITOL interact with drugs. Each result below shows which ingredient is responsible. Myo-Inositol Folic Acid
AcarboseGlucobay, Prandase, Precose
How Acarbose interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
D-chiro-inositolAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking inositol with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-chiro-inositol + Acarbose interactionAcetohexamideDymelor
How Acetohexamide interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
D-chiro-inositolAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking inositol with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-chiro-inositol + Acetohexamide interactionAlbiglutideTanzeum
How Albiglutide interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
D-chiro-inositolAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking inositol with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-chiro-inositol + Albiglutide interactionAlogliptinNesina
How Alogliptin interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
D-chiro-inositolAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking inositol with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-chiro-inositol + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
D-chiro-inositolAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking inositol with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-chiro-inositol + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
D-chiro-inositolAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking inositol with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-chiro-inositol + Alogliptin, Pioglitazone interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
D-chiro-inositolAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking inositol with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-chiro-inositol + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionAprobarbital, Butabarbital, PhenobarbitalTriple Barbital
How Aprobarbital, Butabarbital, Phenobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Aprobarbital, Butabarbital, Phenobarbital interactionAspirin, Codeine Phosphate, PhenobarbitalPhenaphen
How Aspirin, Codeine Phosphate, Phenobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Aspirin, Codeine Phosphate, Phenobarbital interactionAtropine, Hyoscyamine, PhenobarbitalHypnaldyne
How Atropine, Hyoscyamine, Phenobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Hyoscyamine, Phenobarbital interactionAtropine, Hyoscyamine, Phenobarbital, ScopolamineBarbidonna No. 2, Belladonna Phenobarbital
How Atropine, Hyoscyamine, Phenobarbital, Scopolamine interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Hyoscyamine, Phenobarbital, Scopolamine interactionAtropine, Hyoscyamine, Scopolamine, PhenobarbitalBarbeloid, Donnatal #2, Donphen
How Atropine, Hyoscyamine, Scopolamine, Phenobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Hyoscyamine, Scopolamine, Phenobarbital interactionAtropine, PhenobarbitalAnthrocol
How Atropine, Phenobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Phenobarbital interactionBelladona Extract, PhenobarbitalChardonna-2
How Belladona Extract, Phenobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladona Extract, Phenobarbital interactionBelladonna Alkaloids, Ergotamine Tartrate, PhenobarbitalBel Tabs, Bellamine-S, Bellaphen-S, Duragal S, Phenarbal S, Spastrin
How Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interactionBelladonna Alkaloids, PhenobarbitalBarbidonna, Donnatal
How Belladonna Alkaloids, Phenobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna Alkaloids, Phenobarbital interactionBelladonna Extract, PhenobarbitalBelap
How Belladonna Extract, Phenobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna Extract, Phenobarbital interactionBelladonna, Ergotamine Tartrate, Phenobarbital
How Belladonna, Ergotamine Tartrate, Phenobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna, Ergotamine Tartrate, Phenobarbital interactionBelladonna, Ergotamine, PhenobarbitalBellergal-S
How Belladonna, Ergotamine, Phenobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna, Ergotamine, Phenobarbital interactionBelladonna, PhenobarbitalBellophen, Susano
How Belladonna, Phenobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna, Phenobarbital interactionBellafoline, PhenobarbitalBelladenal, Belladenal-S
How Bellafoline, Phenobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Bellafoline, Phenobarbital interactionButabarbital, Phenobarbital, SecobarbitalS.B.P.
How Butabarbital, Phenobarbital, Secobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Butabarbital, Phenobarbital, Secobarbital interactionButalbital, Phenobarbital, SecobarbitalTribarb
How Butalbital, Phenobarbital, Secobarbital interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Butalbital, Phenobarbital, Secobarbital interactionCamphor, Hyoscyamine, Passif, Phenobarbital, Scopolamine, ValerianNevrotose #3
How Camphor, Hyoscyamine, Passif, Phenobarbital, Scopolamine, Valerian interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Camphor, Hyoscyamine, Passif, Phenobarbital, Scopolamine, Valerian interactionCanagliflozinInvokana
How Canagliflozin interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
D-chiro-inositolAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking inositol with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-chiro-inositol + Canagliflozin interactionCanagliflozin, MetforminInvokamet
How Canagliflozin, Metformin interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
D-chiro-inositolAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking inositol with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-chiro-inositol + Canagliflozin, Metformin interactionCanagliflozin, Metformin HydrochlorideInvokamet XR
How Canagliflozin, Metformin Hydrochloride interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
D-chiro-inositolAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking inositol with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-chiro-inositol + Canagliflozin, Metformin Hydrochloride interactionCapecitabineXeloda
How Capecitabine interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidCapecitabine (xeloda) Moderate
Interaction Summary
Use of high-dose folic acid might contribute to capecitabine toxicity.
Read the full Folic Acid + Capecitabine interactionChlorpropamideChlorpropam, Diabinese
How Chlorpropamide interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
D-chiro-inositolAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking inositol with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-chiro-inositol + Chlorpropamide interactionDapagliflozinFarxiga
How Dapagliflozin interacts with PREGNOSITOL — through 1 ingredient. Tap an ingredient for the detail:
D-chiro-inositolAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking inositol with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-chiro-inositol + Dapagliflozin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in PREGNOSITOL 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.
Myo-Inositol
Antidiabetes Drugs
Theoretically, taking inositol with antidiabetes drugs might increase the risk of hypoglycemia.
Clinical research shows that inositol lowers blood glucose levels and glycated hemoglobin (HbA1c) levels in patients with diabetes.
Folic Acid
5-Fluorouracil
Theoretically, high doses of folic acid might increase the toxicity of 5-fluorouracil.
Increases in gastrointestinal side effects of 5-fluorouracil, such as stomatitis and diarrhea, have been described in two clinical studies when leucovorin, a form of folic acid, was administered with 5-fluorouracil.
Capecitabine (Xeloda)
Use of high-dose folic acid might contribute to capecitabine toxicity.
Clinical research suggests that higher serum folate levels are associated with an increased risk for moderate or severe toxicity during capecitabine-based treatment for colorectal cancer. Additionally, in one case report, taking folic acid 15 mg daily might have contributed to increased toxicity, including severe diarrhea, vomiting, edema, hand-foot syndrome, and eventually death, in a patient prescribed capecitabine.
Methotrexate (Trexall, Others)
Folic acid might reduce the efficacy of methotrexate as a cancer treatment when given concurrently.
Methotrexate exerts its cytotoxic effects by preventing conversion of folic acid to the active form needed by cells. There is some evidence that folic acid supplements reduce the efficacy of methotrexate in the treatment of acute lymphoblastic leukemia, and theoretically they could reduce its efficacy in the treatment of other cancers. Advise cancer patients to consult their oncologist before using folic acid supplements. In patients treated with long-term, low-dose methotrexate for rheumatoid arthritis (RA) or psoriasis, folic acid supplements can reduce the incidence of side effects, without reducing efficacy.
Phenobarbital (Luminal)
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Folic acid can have direct convulsant activity in some people, reversing the effects of phenobarbital and worsening seizure control. Monitor closely for increased seizure activity.
Phenytoin (Dilantin)
Folic acid might reduce serum levels of phenytoin in some patients.
Folic acid may be a cofactor in phenytoin metabolism. Folic acid, in doses of 1 mg daily or more, can reduce serum levels of phenytoin in some patients. Increases in seizure frequency have been reported. If folic acid supplements are added to established phenytoin therapy, monitor serum phenytoin levels closely. If phenytoin and folic acid are started at the same time and continued together, adverse changes in phenytoin pharmacokinetics are avoided. Note that phenytoin also reduces serum folate levels.
Primidone (Mysoline)
Folic acid might have antagonistic effects on primidone and increase the risk for seizures.
Folic acid can have direct convulsant activity in some people, reversing the effects of primidone and worsening seizure control. Monitor closely for increased seizure activity. Note that primidone also reduces serum folate levels.
Pyrimethamine (Daraprim)
Folic acid might antagonize the effects of pyrimethamine.
Folic acid can antagonize the antiparasitic effects of pyrimethamine against toxoplasmosis and Pneumocystis carinii pneumonia. Folic acid doesn't antagonize the effects of pyrimethamine in the treatment of malaria, because malarial parasites cannot use exogenous folic acid. Use folinic acid as an alternative to folic acid when indicated.
Brand information
Manufacturer and brand details for PREGNOSITOL, from the product label.
Zazzee Naturals
See all Zazzee Naturals products- Name
- Zazzee Naturals
- Street Address
- 616 Corporate Way Suite 2, Dept. 4604
- City
- Valley Cottage
- State
- NY
- ZipCode
- 10989
PREGNOSITOL by Zazzee Naturals: Common Questions
Does PREGNOSITOL by Zazzee Naturals interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is this product safe to take while trying to get pregnant?
Can I take this while breastfeeding?
What are the inositol ingredients supposed to do?
What side effects might I experience?
I take diabetes medication — is this safe for me?
Will this interact with my birth control?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if PREGNOSITOL 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 PREGNOSITOL’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Folic Acid
Interacts with 40 drugsFolic acid is the man-made form of vitamin B9 and is one of the most well-studied supplements, especially for preventing serious birth defects when taken before and during early pregnancy. I...
Read the full Folic Acid monograph → Herb & supplement monographInositol
Interacts with 86 drugsInositol is a sugar alcohol made naturally in the body and found in many foods, and it is sold as a supplement (often myo-inositol) mainly for PCOS, mood, and metabolic concerns. The stronge...
Read the full Inositol monograph →Sources & How We Checked
PREGNOSITOL'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 70 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.
Folic Acid 56 references
- McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
- Duhra P. Treatment of gastrointestinal symptoms associated with methotrexate therapy for psoriasis. J Am Acad Dermatol 1993;28:466-9. PubMed
- Morgan SL, Baggott JE, Vaughn WH, et al. Supplementation with folic acid during methotrexate therapy for rheumatoid arthritis. A double-blind, placebo-controlled trial. Ann Intern Med 1994;121:833-41. PubMed
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