Red Yeast Rice Care 1215 mg Ingredients & Drug Interactions
by ForestLeaf
What is this page for?
First and foremost: checking Red Yeast Rice Care 1215 mg against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Red Yeast Rice Care 1215 mg is a dietary supplement by ForestLeaf with 4 active ingredients. Its ingredients are commonly taken for diabetic nerve pain (neuropathy), blood sugar support in diabetes, antioxidant support.Based on those ingredients, 853 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Red Yeast Rice, organic Flaxseed Oil powder, Alpha Lipoic Acid. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Red Yeast Rice Care 1215 mg by ForestLeaf
Ask about any prescription or over-the-counter medication and we check it for interactions with Red Yeast Rice Care 1215 mg by ForestLeaf — and tell you which ingredient is responsible.
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HelloPharmacist Scorecard of Red Yeast Rice Care 1215 mg by ForestLeaf
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
This product contains four active ingredients. Alpha-lipoic acid is an antioxidant that plays a role in energy production in your cells.
CoQ10 (coenzyme Q10) is a compound your body makes naturally and uses in cellular energy. Red yeast rice is a fermented rice product that contains lovastatin, a statin-type compound that lowers cholesterol.
Organic flaxseed oil powder provides alpha-linolenic acid, an omega-3 type fat. The capsules also contain inactive ingredients: vegetable cellulose, microcrystalline cellulose, magnesium stearate, and silicon dioxide — these are binders and fillers that hold the product together.
Does it work?
Moderate evidence
Evidence for these ingredients is mixed. Alpha-lipoic acid is rated possibly effective for diabetic nerve pain (neuropathy) and high cholesterol (hyperlipidemia), and possibly effective for weight management.
CoQ10 is rated likely effective for CoQ10 deficiency itself, and possibly effective for migraine headaches, fibromyalgia, congestive heart failure, and diabetic nerve pain. Red yeast rice is rated possibly effective for high cholesterol related to HIV/AIDS and for heart attack prevention.
Flaxseed oil, however, is rated possibly ineffective for weight management, rheumatoid arthritis, bipolar disorder, and high cholesterol — meaning the evidence doesn't support its use for these purposes.
How safe is it?
Well-documented data
Alpha-lipoic acid is generally well tolerated but can lower blood sugar and is best used under medical guidance; avoid it during pregnancy and while breastfeeding because there isn't enough safety data. CoQ10 is generally well tolerated by most adults; avoid it during pregnancy unless your doctor advises otherwise, and use caution while breastfeeding since safety hasn't been well studied.
Red yeast rice works like a statin drug and carries similar risks, plus product quality varies — it is likely unsafe during pregnancy and should be avoided while breastfeeding. Flaxseed oil is generally well tolerated, but not enough safety data exists for pregnancy, so check with your doctor; use only with medical advice while breastfeeding.
Common side effects from oral use include headache, nausea, heartburn, and diarrhea. Red yeast rice specifically may cause muscle pain (myopathy) and in rare cases serious muscle breakdown (rhabdomyolysis) and liver damage, especially at higher doses or when combined with certain other drugs.
Meds to double-check
Moderate interaction found
Before taking this product, check with your doctor or pharmacist if you take statins or other cholesterol drugs (Moderate severity — red yeast rice), warfarin or other blood thinners (Moderate severity — CoQ10 and alpha-lipoic acid, flaxseed oil), thyroid hormone replacement (Moderate severity — alpha-lipoic acid), cyclosporine, gemfibrozil, or high-dose niacin (Moderate severity — red yeast rice). Also clear it if you're on chemotherapy, blood pressure medications, or ezetimibe.
No interactions are documented for the inactive ingredients.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This product combines ingredients with a range of evidence levels, but its red yeast rice content means it works like a prescription statin and carries similar risks — particularly dangerous interactions with other cholesterol drugs, blood thinners, and certain other medications. If you take any prescription medications, especially heart or blood pressure drugs, blood thinners, or cholesterol medications, talk with your doctor or pharmacist before starting this supplement.
The ingredients may also lower blood sugar and blood pressure, so medical guidance is important if you're on diabetes or hypertension drugs.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 4 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jul 23, 2020.
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 Red Yeast Rice Care 1215 mg, straight from the product label.
| Brand | ForestLeaf |
|---|---|
| Barcode (UPC) | X00216VI5D |
| Net contents | 90 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Jul 23, 2020 |
| DSLD ID | 229529 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Dairy Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Red Yeast Rice Care 1215 mg by ForestLeaf, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Alpha Lipoic Acid | 225 mg | -- |
| CoQ10 | 60 mg | -- |
| Red Yeast Rice | 1215 mg | 33% |
| organic Flaxseed Oil powder | 300 mg | -- |
Other ingredients: Vegetable Cellulose, Microcrystalline Cellulose, Magnesium Stearate, Silicon Dioxide
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.
Formula
Red Rice Yeast Care helps lower your bad LDL cholesterol levels, and raises your good HDL cholesterol levels, for a healthy heart and better life.
Made with organic flaxseed
Formulation
Helps lower LDL (bad) cholesterol levels Maintains healthy metabolic functions Supports a healthy cardiovascular system
Non GMO
GMP/FDA Approved Facility UL Certified Facility
Dairy, gluten, egg & nut free
Made with organic flaxseed
Tested for absorption
Promotes healthy cholesterol levels Cholesterol complex
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
Seals/Symbols
Made in the United States
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Suggested use: As a dietary supplement, adults take 3 capsules daily, preferably with a meal, or as directed by your healthcare professional.
Precautions
Caution: Keep out of reach of children.
If you are pregnant, nursing, or taking any prescription medicine, consult your physician before taking this product.
Storage
Store in a cool, dry place.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Red Yeast Rice Care 1215 mg by ForestLeaf 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 Red Yeast Rice Care 1215 mg by ForestLeaf
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.
Alpha Lipoic Acid
Interacts with263 drugs
Alpha-lipoic acid (ALA) is an antioxidant made naturally by the body and found in small amounts in foods. It is most studied for diabetic nerve pain,...
Alpha Lipoic Acid monograph & interactionsCoQ10
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...
CoQ10 monograph & interactionsRed Yeast Rice
Interacts with477 drugs
Red yeast rice contains monacolin K, which is chemically identical to the prescription statin lovastatin, and it can lower LDL ('bad') cholesterol. Be...
Red Yeast Rice monograph & interactionsOrganic Flaxseed Oil powder
Interacts with293 drugs
Flaxseed oil is a plant-based source of the omega-3 fatty acid ALA, which the body can partly convert to the omega-3s found in fish oil. It may help s...
Organic Flaxseed Oil powder monograph & interactionsOther (inactive) ingredients: Vegetable Cellulose, Microcrystalline Cellulose, Magnesium Stearate, Silicon Dioxide. These complete the product’s ingredient list but are not active constituents.
Red Yeast Rice Care 1215 mg by ForestLeaf Drug Interactions
HelloPharmacist Interaction Report
Red Yeast Rice Care 1215 mg by ForestLeaf contains four active ingredients — alpha-lipoic acid, CoQ10, red yeast rice, and flaxseed oil — that together have documented interactions with medications.
The most serious concern is with red yeast rice and statins (HMG-CoA reductase inhibitors): taking this product alongside other cholesterol-lowering drugs could raise statin levels dangerously high, increasing the risk of muscle breakdown and liver damage.
Read the full breakdown — every affected drug type, severity by severity
Alpha-lipoic acid may increase bleeding risk if you're on blood thinners or antiplatelet drugs (Moderate severity), and it theoretically might reduce how well thyroid hormone drugs work. CoQ10 has a documented interaction with warfarin specifically — it may weaken warfarin's blood-thinning effects (Moderate severity) — and might lower blood pressure further if you're already on blood pressure medication.
Red yeast rice carries additional Moderate-severity concerns: it could worsen liver damage if you take other liver-toxic drugs, might build up to dangerous levels if you're on CYP3A4 inhibitors, and poses serious muscle injury risk when combined with cyclosporine, gemfibrozil, or high-dose niacin.
Flaxseed oil may increase bleeding if combined with blood thinners or antiplatelet drugs, and it could lower blood pressure further alongside antihypertensive medications (both Moderate). It also reduces the absorption of ezetimibe.
Altogether, these interactions span 854 individual medications.
Check your exact medications with the search tool on this page before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Red Yeast Rice Care 1215 mg?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Red Yeast Rice Care 1215 mg interact with 853 drugs. Click any drug to see the details.
4 of the 4 ingredients in Red Yeast Rice Care 1215 mg interact with drugs. Each result below shows which ingredient is responsible. Red Yeast Rice organic Flaxseed Oil powder Alpha Lipoic Acid CoQ10
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + 6-mercaptopurine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Abacavir, Lamivudine interactionAbametapirXeglyze
How Abametapir interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceCytochrome P450 3a4 (cyp3a4) Inhibitors Moderate
Interaction Summary
Theoretically, drugs that inhibit the CYP3A4 enzymes might increase levels of lovastatin from red yeast rice.
Read the full Red Yeast Rice + Abametapir interactionAbciximabReoPro
How Abciximab interacts with Red Yeast Rice Care 1215 mg — through 2 ingredients. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Abciximab interactionOrganic Flaxseed Oil PowderAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, using flaxseed oil in combination with anticoagulant or antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full Organic Flaxseed Oil Powder + Abciximab interactionAbiraterone
How Abiraterone interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceCytochrome P450 3a4 (cyp3a4) Inhibitors, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, drugs that inhibit the CYP3A4 enzymes might increase levels of lovastatin from red yeast rice.
Read the full Red Yeast Rice + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Red Yeast Rice Care 1215 mg — through 2 ingredients. Tap an ingredient for the detail:
Organic Flaxseed Oil PowderAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, using flaxseed oil in combination with anticoagulant or antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full Organic Flaxseed Oil Powder + Abrocitinib interactionAlpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Red Yeast Rice Care 1215 mg — through 2 ingredients. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acarbose interactionAlpha Lipoic AcidAntidiabetes Drugs Minor
Interaction Summary
Theoretically, taking alpha-lipoic acid with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Alpha Lipoic Acid + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Red Yeast Rice Care 1215 mg — through 3 ingredients. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acebutolol interactionOrganic Flaxseed Oil PowderAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, combining flaxseed oil with other antihypertensive drugs might have additive effects and increase the risk of hypotension.
Read the full Organic Flaxseed Oil Powder + Acebutolol interactionCoq10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coq10 + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Red Yeast Rice Care 1215 mg — through 2 ingredients. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Acenocoumarol interactionOrganic Flaxseed Oil PowderAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, using flaxseed oil in combination with anticoagulant or antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full Organic Flaxseed Oil Powder + Acenocoumarol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Red Yeast Rice Care 1215 mg — through 3 ingredients. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Aspirin interactionOrganic Flaxseed Oil PowderAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, using flaxseed oil in combination with anticoagulant or antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full Organic Flaxseed Oil Powder + Acetaminophen, Aspirin interactionAlpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Red Yeast Rice Care 1215 mg — through 3 ingredients. Tap an ingredient for the detail:
Alpha Lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha Lipoic Acid + Acetaminophen, Aspirin, Caffeine interactionRed Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Aspirin, Caffeine interactionOrganic Flaxseed Oil PowderAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, using flaxseed oil in combination with anticoagulant or antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full Organic Flaxseed Oil Powder + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Red Yeast Rice Care 1215 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast RiceHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Red Yeast Rice Care 1215 mg 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.
Red Yeast Rice
Cyclosporine (Neoral, Sandimmune)
Theoretically, taking red yeast rice in combination with cyclosporine might increase the risk of myopathy.
Red yeast rice contains varying levels of the statin drug lovastatin. Cyclosporine has been reported to increase plasma levels of lovastatin by 5- to 20-fold, resulting in reports of myopathy and rhabdomyolysis.
Cytochrome P450 3A4 (Cyp3A4) Inhibitors
Theoretically, drugs that inhibit the CYP3A4 enzymes might increase levels of lovastatin from red yeast rice.
Red yeast rice contains varying levels of the statin drug lovastatin, which is metabolized by CYP3A4. Combining red yeast rice with CYP3A4 inhibitors might increase serum levels of lovastatin from red yeast rice.
Gemfibrozil (Lopid)
Theoretically, taking red yeast rice in combination with gemfibrozil might increase the risk of rhabdomyolysis.
Red yeast rice contains varying levels of the statin drug lovastatin. Gemfibrozil has been reported to increase the risk of rhabdomyolysis when used in combination with lovastatin.
Hepatotoxic Drugs
Theoretically, concomitant use might increase the risk of liver damage.
Red yeast rice contains varying levels of the drug lovastatin. Lovastatin can cause liver damage in some people. Some clinical research suggests that supplements containing red yeast rice might increase liver enzyme levels in some, but not all, participants. Cases of acute hepatitis have been associated with red yeast rice. Combining it with hepatotoxic drugs might further increase this risk.
Hmg-Coa Reductase Inhibitors ("Statins")
Theoretically, taking red yeast rice with other statins might increase the risk of potential adverse effects.
Red yeast rice contains varying levels of the statin drug lovastatin and might result in supratherapeutic levels when used with other statins. Based on evaluation of data from the US Food and Drug Administration's adverse event reporting system (FAERS), it is recommended that red yeast rice products be avoided in people taking prescription statins.
Niacin
Theoretically, taking red yeast rice in combination with high-dose niacin might increase the risk of rhabdomyolysis.
Red yeast rice contains varying levels of the statin drug lovastatin and has been linked to reports of myopathy. Niacin has been reported to increase the risk of rhabdomyolysis when used in combination with lovastatin.
organic Flaxseed Oil powder
Anticoagulant/Antiplatelet Drugs
Theoretically, using flaxseed oil in combination with anticoagulant or antiplatelet drugs might have additive effects and increase the risk of bleeding.
Small clinical studies show that consuming flaxseed oil might decrease platelet aggregation and increase bleeding time.
Antihypertensive Drugs
Theoretically, combining flaxseed oil with other antihypertensive drugs might have additive effects and increase the risk of hypotension.
Some clinical evidence suggests that long-term consumption of flaxseed oil can modestly lower systolic and diastolic blood pressure, while other clinical research shows no effect.
Ezetimibe (Zetia)
Concomitant use of flaxseed oil and ezetimibe reduces the absorption of alpha-linolenic acid from flaxseed oil.
In one clinical study, concomitant consumption of ezetimibe 10 mg daily with flaxseed oil 2 grams providing 1 gram of alpha-linolenic acid daily blocked the absorption of alpha-linolenic acid, resulting in an overall reduction in alpha-linolenic plasma levels from baseline.
Alpha Lipoic Acid
Alkylating Agents
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of alkylating agents.
The use of antioxidants like alpha-lipoic acid during chemotherapy is controversial. There are concerns that antioxidants could reduce the activity of chemotherapy drugs that generate free radicals. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as alpha-lipoic acid have on chemotherapy. Advise patients to consult their oncologist before using alpha-lipoic acid.
Anticoagulant/Antiplatelet Drugs
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In vitro, alpha-lipoic acid inhibits platelet aggregation.
Antitumor Antibiotics
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of antitumor antibiotics.
The use of antioxidants like alpha-lipoic acid during chemotherapy is controversial. There are concerns that antioxidants could reduce the activity of antitumor antibiotic drugs, which work by generating free radicals. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as alpha-lipoic acid have on chemotherapy involving antitumor antibiotics. Advise patients to consult their oncologist before using alpha-lipoic acid.
Thyroid Hormone
Theoretically, alpha-lipoic acid might decrease the effects of thyroid hormone drugs.
Animal research suggests that co-administration of thyroxine with alpha-lipoic acid reduces conversion into the active T3 form.
Antidiabetes Drugs
Theoretically, taking alpha-lipoic acid with antidiabetes drugs might increase the risk of hypoglycemia.
Although some small clinical studies have suggested that alpha-lipoic acid can lower blood glucose levels, larger clinical studies in patients with diabetes have shown no clinically meaningful effect. Additionally, co-administration of single doses of alpha-lipoic acid and glyburide or acarbose did not cause detectable drug interactions in healthy volunteers.
CoQ10
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.
Brand information
Manufacturer and brand details for Red Yeast Rice Care 1215 mg, from the product label.
ForestLeaf
See all ForestLeaf products- Name
- Forest Leaf
- City
- Brooklyn
- State
- NY
- ZipCode
- 11219
- Phone Number
- 929.810.5089
- Web Address
- www.ForestLeaf.com
Red Yeast Rice Care 1215 mg by ForestLeaf: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Red Yeast Rice Care 1215 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Alpha-lipoic Acid
Interacts with 263 drugsAlpha-lipoic acid (ALA) is an antioxidant made naturally by the body and found in small amounts in foods. It is most studied for diabetic nerve pain, where some evidence suggests it may help...
Read the full Alpha-lipoic Acid monograph → Herb & supplement monographCoenzyme 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 monographRed Yeast Rice
Interacts with 477 drugsRed yeast rice contains monacolin K, which is chemically identical to the prescription statin lovastatin, and it can lower LDL ('bad') cholesterol. Because of this, it carries the same risks...
Read the full Red Yeast Rice monograph → Herb & supplement monographFlaxseed Oil
Interacts with 293 drugsFlaxseed oil is a plant-based source of the omega-3 fatty acid ALA, which the body can partly convert to the omega-3s found in fish oil. It may help support heart health and provide healthy...
Read the full Flaxseed Oil monograph →Sources & How We Checked
Red Yeast Rice Care 1215 mg's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 159 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.
Alpha-lipoic Acid 48 references
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- Gleiter CH, Schreeb KH, Freudenthaler S, et al. Lack of interaction between thioctic acid, glibenclamide and acarbose. Br J Clin Pharmacol 1999;48:819-25. PubMed
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- Jacob S, Henriksen EJ, Schiemann AL, et al. Enhancement of glucose disposal in patients with type 2 diabetes by alpha-lipoic acid. Arzneimittelforschung 1995;45:872-4.
- Jacob S, Ruus P, Hermann R, et al. Oral administration of RAC-alpha-lipoic acid modulates insulin sensitivity in patients with type-2 diabetes mellitus: a placebo-controlled, pilot trial. Free Rad Biol Med 1999;27:309-14.
- Segermann J, Hotze A, Ulrich H, Rao GS. Effect of alpha-lipoic acid on the peripheral conversion of thyroxine to triiodothyronine and on serum lipid-, protein- and glucose levels. Arzneimittelforschung 1991;41:1294-8.
- Beitner H. Randomized, placebo controlled, double-blind study on the clinical efficacy of a cream containing 5% alpha-lipoic acid related to photoaging of facial skin. Br J Dermatol 2003;149:841-9.
- Ziegler D, Nowak H, Kempler P, et al. Treatment of symptomatic diabetic polyneuropathy with the antioxidant alpha-lipoic acid: A meta-analysis. Diabet Med 2004;21:114-21.
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- Mazloom Z., Ansar H. The Effect of Alpha-Lipoic Acid on Blood Pressure in Type 2 Diabetics. Iranian Journal of Endocrinology and Metabolism 2009;11(3):245-250.
- Volchegorskii I. A., Rassokhina L. M., Koliadich M. I., Alekseev M. I. [Comparative study of alpha-lipoic acid and mexidol effects on affective status, cognitive functions and quality of life in diabetes mellitus patients]. Eksp Klin Farmakol 2011;74(11):
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- Bergqvist-Karlsson, A., Thelin, I., and Bergendorff, O. Contact dermatitis to alpha-lipoic acid in an anti-wrinkle cream. Contact Dermatitis 2006;55(1):56-57.
- Tang, J., Wingerchuk, D. M., Crum, B. A., Rubin, D. I., and Demaerschalk, B. M. Alpha-lipoic acid may improve symptomatic diabetic polyneuropathy. Neurologist. 2007;13(3):164-167. PubMed
- Hegazy SK, Tolba OA, Mostafa TM, Eid MA, El-Afify DR. Alpha-lipoic acid improves subclinical left ventricular dysfunction in asymptomatic patients with type 1 diabetes. Rev Diabet Stud 2013;10(1):58-67. PubMed
- Huang Z, Wan X, Liu J, et al. Short-term continuous subcutaneous insulin infusion combined with insulin sensitizers rosiglitazone, metformin, or antioxidant a-lipoic acid in patients with newly diagnosed type 2 diabetes mellitus. Diabetes Technol Ther 201
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- Murray GL, Colombo J. (r)Alpha lipoic acid is a safe, effective pharmacologic therapy of chronic orthostatic hypotension associated with low sympathetic tone. Int J Angiol. 2019;28(3):188-193. PubMed
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- Passiatore M, Perna A, De-Vitis R, Taccardo G. The use of alfa-lipoic acid-R (ALA-R) in patients with mild-moderate carpal tunnel syndrome: A randomised controlled open label prospective study. Malays Orthop J. 2020;14(1):1-6. PubMed
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- Kim BJ, Hunter A, Brucker AJ, et al. Orally administered alpha lipoic acid as a treatment for geographic atrophy: A randomized clinical trial. Ophthalmol Retina. 2020;4(9):889-898. PubMed
- Derosa G, D'Angelo A, Preti P, Maffioli P. Safety and efficacy of alpha lipoic acid during 4 years of observation: A retrospective, clinical trial in healthy subjects in primary prevention. Drug Des Devel Ther. 2020;14:5367-5374.
- Sun Y, Guan X, Wang H, et al. Randomized clinical trial of combined therapy with oral a-lipoic acid and NB-UVB for nonsegmental stable vitiligo. Dermatol Ther. 2021;34(1):e14610.
- Gilron I, Robb S, Tu D, et al. Double-blind, randomized, placebo-controlled crossover trial of alpha-lipoic acid for the treatment of fibromyalgia pain: the IMPALA trial. Pain. 2021;162(2):561-568. PubMed
- Gullo D, Evans JL, Sortino G, Goldfine ID, Vigneri R. Insulin autoimmune syndrome (Hirata Disease) in European Caucasians taking a-lipoic acid. Clin Endocrinol (Oxf). 2014;81(2):204-9.
- Yukina M, Nuralieva N, Solovyev M, Troshina E, Vasilyev E. Insulin autoimmune syndrome. Endocrinol Diabetes Metab Case Rep. 2020;2020:19-0159. PubMed
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- Izzo V, Greco C, Corradini D, et al. Insulin autoimmune syndrome in an Argentine woman taking a-lipoic acid: A case report and review of the literature. SAGE Open Med Case Rep. 2018;6:2050313X18819601.
- EFSA Panel on Nutrition, Novel Foods and Food Allergens (NDA), Turck D, et al. Scientific opinion on the relationship between intake of alpha-lipoic acid (thioctic acid) and the risk of insulin autoimmune syndrome. EFSA J 2021;19(6):e06577. PubMed
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- Velasco-Amador JP, Prados-Carmona Á, Navarro-Triviño FJ. Contact urticaria syndrome caused by alpha-lipoic acid in a master formula for vulvar lichen sclerosus. Contact Dermatitis 2023;89(2):136-137. PubMed
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Coenzyme Q10 40 references
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Red Yeast Rice 50 references
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