Sales Biliares Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Sales Biliares 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
Sales Biliares is a dietary supplement by Sunshine Naturals with 7 active ingredients. Its ingredients are commonly taken for low stomach acid (hypochlorhydria), bloating and gas, indigestion.Based on those ingredients, 38 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Betaine Hydrochloride, Papain. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Sales Biliares by Sunshine Naturals
Ask about any prescription or over-the-counter medication and we check it for interactions with Sales Biliares by Sunshine 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 Sales Biliares by Sunshine 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
Sales Biliares contains 7 active ingredients meant to support digestive function. Betaine hydrochloride increases stomach acid to help with digestion.
Papain is an enzyme from papaya that breaks down proteins. Pepsin is another protein-digesting enzyme.
Pancreatin is a blend of digestive enzymes from animal pancreas. Diastase is a starch-digesting enzyme, and ox bile extract supports fat digestion.
Methylcellulose acts as a bulking agent. The tablet also contains inactive ingredients—calcium phosphate, cellulose, propyl methyl cellulose, and pharmaceutical glaze—which are fillers and binders.
Does it work?
Not established
The evidence for betaine hydrochloride is not established in the data we hold for dyspepsia (indigestion), hypothyroidism, diarrhea, rheumatoid arthritis, food allergies, or hay fever. Papain likewise shows insufficient reliable evidence for cancer, dental cavities, radiation burns, muscle soreness, shingles, or parasitic infections.
Pepsin's effectiveness hasn't been rated in our data for any condition. Because this is a combination product with multiple digestive enzymes, any benefit would depend on your individual situation—talk it over with your doctor or pharmacist about whether it's right for you.
How safe is it?
Well-documented data
Betaine hydrochloride can irritate the stomach and is off-limits if you have ulcers, gastritis, or true acid reflux—it may worsen heartburn or ulcer healing. Papain is generally tolerated as a food but may cause digestive upset or allergic reactions in supplement form; high doses are unsafe and rare cases have caused esophageal perforation or severe gastritis.
Pepsin is usually well tolerated but can trigger digestive upset or allergic reactions. Avoid this product during pregnancy—betaine hydrochloride lacks safety data, and papain is possibly unsafe in pregnancy, especially the concentrated form.
Do not use during breastfeeding; safety data for both betaine hydrochloride and papain is insufficient, and pepsin is not recommended without medical advice.
Meds to double-check
Moderate interaction found
If you take warfarin (a blood thinner), check with your doctor before starting—papain may increase its effects and bleeding risk. Anyone on H2-blockers, antacids, or proton pump inhibitors should also verify with their pharmacist that this product won't reduce how well those stomach-acid medications work.
We have no interaction data for methylcellulose, diastase, pancreatin, or ox bile extract, so interactions for those ingredients may exist but aren't documented in our files.
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
This product is a digestive-enzyme blend aimed at people seeking support for stomach acid and nutrient breakdown, but the evidence for most of its uses isn't solid yet. If you take warfarin, H2-blockers, antacids, or PPIs, run your medication list through the checker on this page before trying it.
Skip it if you have active ulcers, gastritis, or acid reflux. Talk to your own doctor or pharmacist about whether it makes sense for your situation.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 7 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jul 21, 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 Sales Biliares, straight from the product label.
| Brand | Sunshine Naturals |
|---|---|
| Barcode (UPC) | 789939101292 |
| Net contents | 30 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Jul 21, 2022 |
| DSLD ID | 271306 |
| Product type | Non-nutrient/non-botanical |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other, Structure/Function |
| 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 Sales Biliares by Sunshine Naturals, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Betaine Hydrochloride | 60 mg | -- |
| Papain | 30 mg | -- |
| Methylcellulose | 15 mg | -- |
| Diastase | 64 mg | -- |
| Pepsin | 30 mg | -- |
| Pancreatin | 129 mg | -- |
| Ox Bile extract | 129 mg | -- |
Other ingredients: Calcium Phosphate, Cellulose, Propyl Methyl Cellulose, Pharmaceutical Glaze
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
Directions: Adults take two tablets with or before meals as a dietary supplement.
Formula
Formulated for those suffering digestive discomfort or slow digestion.
(Ox Bile) with Digestive Enzymes
FDA Disclaimer Statement
This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
Precautions
Keep out of the reach of children
Do not use if safety seal is broken or missing.
Storage
Store in a cool dry place.
FDA Statement of Identity
Dietary Supplement
Formulation
For better digestion of fats
Proudly Made in the USA.
Seals/Symbols
Proudly Made in the USA.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Sales Biliares by Sunshine 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 Sales Biliares by Sunshine Naturals
These are the 7 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Tablet(s) Dosage formTablet Or Pill 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.
Betaine Hydrochloride
Interacts with36 drugs
Betaine hydrochloride is a supplement used to temporarily increase stomach acid in people who may have low acid levels. Evidence for its benefits is l...
Betaine Hydrochloride monograph & interactionsPapain
Interacts with2 drugs
Papain is a protein-digesting enzyme from the papaya plant that is used in digestive supplements and some topical products. While it has clear food an...
Papain monograph & interactionsMethylcellulose
Diastase
Pepsin
No knowninteractions
Proteolytic enzymes are proteins that help break down other proteins, and common examples include bromelain (from pineapple), papain (from papaya), tr...
Pepsin monograph & interactionsPancreatin
Ox Bile extract
Other (inactive) ingredients: Calcium Phosphate, Cellulose, Propyl Methyl Cellulose, Pharmaceutical Glaze. These complete the product’s ingredient list but are not active constituents.
Sales Biliares by Sunshine Naturals Drug Interactions
HelloPharmacist Interaction Report
Sales Biliares by Sunshine Naturals does interact with medications, primarily through its betaine hydrochloride and papain content.
The most serious interaction is papain with warfarin (a blood thinner)—in one documented case, a patient stable on warfarin experienced a dangerous spike in their INR after taking a papain-containing supplement. Betaine hydrochloride poses Minor interactions with stomach-acid-reducing drugs: it increases stomach acidity, which can blunt the effects of H2-blockers (like famotidine), antacids, and proton pump inhibitors (PPIs like omeprazole).
Altogether, these interactions span 38 individual medications.
Read the full breakdown — every affected drug type, severity by severity
Because warfarin carries serious bleeding risk if its effects change unexpectedly, anyone taking it should check with their doctor before starting this product. The stomach-acid interactions are less urgent but still worth knowing: if you take H2-blockers, antacids, or PPIs, this supplement could reduce how well they work.
We couldn't check the interaction data for methylcellulose, diastase, pancreatin, or ox bile extract—they may have interactions we don't yet have on file. Use the medication checker on this page to look up your exact drugs before taking it.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Sales Biliares?
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 Sales Biliares interact with 38 drugs. Click any drug to see the details.
2 of the 7 ingredients in Sales Biliares interact with drugs. Each result below shows which ingredient is responsible. Betaine Hydrochloride Papain
WarfarinWarfarin
How Warfarin interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
PapainWarfarin (coumadin) Moderate
Interaction Summary
Theoretically, papain might increase the effects and side effects of warfarin.
Read the full Papain + Warfarin interactionWarfarin SodiumCoumadin, Panwarfin, Sofarin
How Warfarin Sodium interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
PapainWarfarin (coumadin) Moderate
Interaction Summary
Theoretically, papain might increase the effects and side effects of warfarin.
Read the full Papain + Warfarin Sodium interactionAlginic Acid, Aluminum HydroxideRafton
How Alginic Acid, Aluminum Hydroxide interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Alginic Acid, Aluminum Hydroxide interactionAluminum HydroxideAlu-Cap, Amphojel, Gaviscon
How Aluminum Hydroxide interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Aluminum Hydroxide interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAluminum Hydroxide, Magnesium Hydroxide (otc Drug)Maalox, Mucogel
How Aluminum Hydroxide, Magnesium Hydroxide (otc Drug) interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Aluminum Hydroxide, Magnesium Hydroxide (otc Drug) interactionAluminum Hydroxide, Magnesium Hydroxide, Simethicone (otc Drug)Mylanta
How Aluminum Hydroxide, Magnesium Hydroxide, Simethicone (otc Drug) interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Aluminum Hydroxide, Magnesium Hydroxide, Simethicone (otc Drug) interactionAluminum, Magnesium (otc Drug)Almagel
How Aluminum, Magnesium (otc Drug) interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Aluminum, Magnesium (otc Drug) interactionAmoxicillin, Omeprazole Magnesium, RifabutinTalicia
How Amoxicillin, Omeprazole Magnesium, Rifabutin interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideProton Pump Inhibitors (ppis) Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
Read the full Betaine Hydrochloride + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
How Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionAspirin, Calcium Carbonate, Magnesium Carbonate, Magnesium OxideBufferin
How Aspirin, Calcium Carbonate, Magnesium Carbonate, Magnesium Oxide interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Aspirin, Calcium Carbonate, Magnesium Carbonate, Magnesium Oxide interactionAspirin, Citric Acid, Sodium BicarbonateAlka-Seltzer Pain Reliever and Antacid
How Aspirin, Citric Acid, Sodium Bicarbonate interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Aspirin, Citric Acid, Sodium Bicarbonate interactionAspirin, OmeprazoleYosprala
How Aspirin, Omeprazole interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideProton Pump Inhibitors (ppis) Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
Read the full Betaine Hydrochloride + Aspirin, Omeprazole interactionBismuth Subcarbonate, Calcium Carbonate, OpiumDiabismul
How Bismuth Subcarbonate, Calcium Carbonate, Opium interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Bismuth Subcarbonate, Calcium Carbonate, Opium interactionCalcium CarbonateAdcal, Adcal-D3, Calcichew, Os-Cal, Tums
How Calcium Carbonate interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Calcium Carbonate interactionCimetidineCimetidine Injection, Tagamet, Tagamet HB
How Cimetidine interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideH2-blockers Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of H2-blockers.
Read the full Betaine Hydrochloride + Cimetidine interactionDexlansoprazoleDexilant Solutab
How Dexlansoprazole interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideProton Pump Inhibitors (ppis) Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
Read the full Betaine Hydrochloride + Dexlansoprazole interactionDihydroxyaluminum Sodium CarbonateRolaids
How Dihydroxyaluminum Sodium Carbonate interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Dihydroxyaluminum Sodium Carbonate interactionEsomeprazoleNexium
How Esomeprazole interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideProton Pump Inhibitors (ppis) Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
Read the full Betaine Hydrochloride + Esomeprazole interactionEsomeprazole MagnesiumNexium 24hr
How Esomeprazole Magnesium interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideProton Pump Inhibitors (ppis) Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
Read the full Betaine Hydrochloride + Esomeprazole Magnesium interactionEsomeprazole StrontiumEsomeprazole Strontium
How Esomeprazole Strontium interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideProton Pump Inhibitors (ppis) Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
Read the full Betaine Hydrochloride + Esomeprazole Strontium interactionEsomeprazole, NaproxenVimovo
How Esomeprazole, Naproxen interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideProton Pump Inhibitors (ppis) Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
Read the full Betaine Hydrochloride + Esomeprazole, Naproxen interactionFamotidineFamotidine, Famotidine Injection, Pepcid, Pepcid AC
How Famotidine interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideH2-blockers Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of H2-blockers.
Read the full Betaine Hydrochloride + Famotidine interactionFamotidine, IbuprofenDuexis
How Famotidine, Ibuprofen interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideH2-blockers Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of H2-blockers.
Read the full Betaine Hydrochloride + Famotidine, Ibuprofen interactionLansoprazolePrevacid
How Lansoprazole interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideProton Pump Inhibitors (ppis) Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
Read the full Betaine Hydrochloride + Lansoprazole interactionLansoprazole, Amoxicillin, ClarithromycinPrevpac
How Lansoprazole, Amoxicillin, Clarithromycin interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideProton Pump Inhibitors (ppis) Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
Read the full Betaine Hydrochloride + Lansoprazole, Amoxicillin, Clarithromycin interactionMagaldrateRiopan
How Magaldrate interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Magaldrate interactionMagnesium Sulfate (prescription Drug)Bilagog, Magnesium Sulfate
How Magnesium Sulfate (prescription Drug) interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Magnesium Sulfate (prescription Drug) interactionNizatidineAxid, Axid Injection
How Nizatidine interacts with Sales Biliares — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideH2-blockers Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of H2-blockers.
Read the full Betaine Hydrochloride + Nizatidine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Sales Biliares 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.
Betaine Hydrochloride
Antacids
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
In human research, betaine hydrochloride increases stomach acidity. Antacids are taken to decrease stomach acidity. Theoretically, taking betaine hydrochloride along with antacids might decrease the effects of the antacids.
H2-Blockers
Betaine hydrochloride increases stomach acidity and could decrease the effects of H2-blockers.
In human research, betaine hydrochloride increases stomach acidity. H2-blockers are used to decrease stomach acidity. Theoretically, taking betaine hydrochloride along with H2-blockers might decrease the effects of H2-blockers.
Proton Pump Inhibitors (Ppis)
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
In human research, betaine hydrochloride increases stomach acidity. PPIs are used to decrease stomach acidity. Theoretically, taking betaine hydrochloride along with PPIs might decrease the effects of PPIs
Papain
Warfarin (Coumadin)
Theoretically, papain might increase the effects and side effects of warfarin.
In one case report, a patient previously stable on warfarin was found to have an international normalization ratio (INR) of 7.4, which was attributed to ingestion of a supplement containing papain from papaya extract.
Brand information
Manufacturer and brand details for Sales Biliares, from the product label.
Sunshine Naturals
See all Sunshine Naturals products- Name
- American Naturavit Inc.
- City
- Miami
- State
- FL
- ZipCode
- 33166
- Phone Number
- 305-593-5417
- Web Address
- www.sunshinenaturals.com
Sales Biliares by Sunshine Naturals: Common Questions
Does Sales Biliares by Sunshine Naturals 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 on blood thinners like warfarin?
Is it safe if I take acid reflux medication?
Can I take this while pregnant or breastfeeding?
What if I have a sensitive stomach or ulcers?
Could this cause allergic reactions?
What does each ingredient actually do?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Sales Biliares 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 Sales Biliares’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Betaine Hydrochloride
Interacts with 36 drugsBetaine hydrochloride is a supplement used to temporarily increase stomach acid in people who may have low acid levels. Evidence for its benefits is limited and mostly based on tradition rat...
Read the full Betaine Hydrochloride monograph → Herb & supplement monographPapain
Interacts with 2 drugsPapain is a protein-digesting enzyme from the papaya plant that is used in digestive supplements and some topical products. While it has clear food and laboratory uses, strong human evidence...
Read the full Papain monograph → Herb & supplement monographProteolytic Enzymes (proteases)
Proteolytic enzymes are proteins that help break down other proteins, and common examples include bromelain (from pineapple), papain (from papaya), trypsin, chymotrypsin, and pancreatin. Peo...
Read the full Proteolytic Enzymes (proteases) monograph →Sources & How We Checked
Sales Biliares'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 16 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.
Betaine Hydrochloride 2 references
- Yago MR, Frymoyer A, Benet LZ, Smelick GS, Frassetto LA, Ding X, Dean B, Salphati L, Budha N, Jin JY, Dresser MJ, Ware JA. The use of betaine HCl to enhance dasatinib absorption in healthy volunteers with rabeprazole-induced hypochlorhydria. AAPS J. 2014 PubMed
- Yago MR, Frymoyer AR, Smelick GS, Frassetto LA, Budha NR, Dresser MJ, Ware JA, Benet LZ. Gastric reacidification with betaine HCl in healthy volunteers with rabeprazole-induced hypochlorhydria. Mol Pharm. 2013 Nov 4;10(11):4032-7. PubMed
See these in context on the Betaine Hydrochloride monograph →
Papain 11 references
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- Shaw D, Leon C, Kolev S, Murray V. Traditional remedies and food supplements: a 5-year toxicological study (1991-1995). Drug Saf 1997;17:342-56.
- Shuttleworth D, Hill S, Marks R, Connelly DM. Relief of experimentally induced pruritus with a novel eutectic mixture of local anaesthetic agents. Br J Dermatol 1988;119:535-40.
- Mansfield LE, Ting S, Haverly RW, Yoo TJ. The incidence and clinical implications of hypersensitivity to papain in an allergic population, confirmed by blinded oral challenge. Ann Allergy 1985;55:541-3.
- Martin, T., Uhder, K., Kurek, R., Roeddiger, S., Schneider, L., Vogt, H. G., Heyd, R., and Zamboglou, N. Does prophylactic treatment with proteolytic enzymes reduce acute toxicity of adjuvant pelvic irradiation? Results of a double-blind randomized trial PubMed
- Walker-Renard, P. Update on the medicinal management of phytobezoars. Am J Gastroenterol. 1993;88(10):1663-1666.
- Tymoszuk D, Wiszniewska M, Walusiak-Skorupa J. Papain-induced occupational rhinoconjunctivitis and asthma - A case report. Med Pr 2016;67(1):109-12. PubMed
- Soto-Mera MT, López-Rico MR, Filgueira JF, et al. Occupational allergy to papain. Allergy 2000;55(10):983-4. PubMed
- Tarlo SM, Shaikh W, Bell B, et al. Papain-induced allergic reactions. Clin Allergy 1978;8(3):207-15. PubMed
- Baur X, König G, Bencze K, Fruhmann G. Clinical symptoms and results of skin test, RAST and bronchial provocation test in thirty-three papain workers: Evidence for strong immunogenic potency and clinically relevant proteolytic e?ects of airborne papain. C
- Novey HS, Keenan WJ, Fairshter RD, Wells ID, Wilson AF, Culver BD. Pulmonary disease in workers exposed to papain: clinico-physiological and immunological studies. Clin Allergy 1980;10(6):721-31. PubMed
Proteolytic Enzymes (proteases) 3 references
- Weeks JA, Harper RA, Simon RA, Burdick JD. Assessment of sensitization risk of a laundry pre-spotter containing protease. Cutan Ocul Toxicol. 2011;30(4):272-9. PubMed
- Marquès LI, Lara S, Abós T, Bartolomé B. Occupational rhinitis due to pepsin. J Investig Allergol Clin Immunol. 2006;16(2):136-7. DOI
- Cartier A, Malo JL, Pineau L, Dolovich J. Occupational asthma due to pepsin. J Allergy Clin Immunol. 1984;73(5 Pt 1):574-7. PubMed
See these in context on the Proteolytic Enzymes (proteases) monograph →
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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.
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