SAM-e Ingredients & Drug Interactions
by DC
What is this page for?
First and foremost: checking SAM-e 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
SAM-e is a dietary supplement by DC with 1 active ingredient. Its ingredients are commonly taken for depression, osteoarthritis joint pain, liver conditions.Based on those ingredients, 189 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are S-Adenosylmethionine. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against SAM-e by DC
Ask about any prescription or over-the-counter medication and we check it for interactions with SAM-e by DC — 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 SAM-e by DC
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
SAMe by DC contains one active ingredient: S-Adenosylmethionine, a compound your body naturally produces and uses in many chemical reactions, including those that affect mood, joint cartilage, and liver function. The tablet also contains several inactive ingredients—cellulose, mannitol, glyceryl behenate, vegetable magnesium stearate, silicon dioxide, sodium starch glycolate, and an enteric coating—which help deliver the active ingredient and protect it in your stomach.
Does it work?
Strong evidence
SAMe is likely effective for osteoarthritis, meaning it has solid evidence supporting its use for joint pain and stiffness. For depression, the evidence suggests it may help, though the research is not as robust.
For cholestasis (a liver condition involving impaired bile flow), it's possibly effective. For Alzheimer disease and ADHD, there isn't enough reliable evidence yet to say whether it works.
How safe is it?
Well-documented data
SAMe is generally well tolerated when taken in standard doses, though side effects become more common at higher doses. The most frequent ones are stomach-related—nausea, diarrhea, constipation, upset stomach—along with headache, dizziness, insomnia, and nervousness.
Less common are rash, itching, hair loss, and sweating. One important caution: SAMe can trigger or worsen mania in people with bipolar disorder, so it requires careful medical oversight if you have that condition.
For pregnancy, the safety data suggests it may be safe, but because long-term safety isn't well established, talk with your doctor or pharmacist before using it while pregnant or breastfeeding.
Meds to double-check
Moderate interaction found
Before taking SAMe, double-check with your doctor or pharmacist if you're on any serotonergic drug—this includes most antidepressants, some anti-anxiety medications, certain pain relievers, and migraine treatments. Also flag it if you take levodopa for Parkinson disease.
Both interactions are Moderate in severity and can affect how your medications work or how you feel.
The bottom line
Scorecard at a glanceFully disclosed formula with strong clinical evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
SAMe may be worth considering if you have osteoarthritis or are exploring options for depression, and your doctor agrees it's right for you. If you take any antidepressant, serotonin-related medication, or levodopa, or if you have bipolar disorder, check with your doctor or pharmacist before starting SAMe.
Otherwise, bring your full medication list to that conversation so they can advise whether it's a fit.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Mar 25, 2021.
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 SAM-e, straight from the product label.
| Brand | DC |
|---|---|
| Net contents | 0 Not Present |
| Market status | On market |
| Date entered into DSLD | Mar 25, 2021 |
| DSLD ID | 244664 |
| Product type | Non-nutrient/non-botanical |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, 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 SAM-e by DC, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| S-Adenosylmethionine | 400 mg | -- |
Other ingredients: Cellulose, Mannitol, Glyceryl Behenate, Vegetable Magnesium Stearate, Silicon Dioxide, Sodium Starch Glycolate, Enteric Coating
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
All living things contain SAM-e (S-adenosylmethionine). The body makes SAM-e from the amino acid methionine. However, you may not be able to obtain sufficient methionine levels simply by ingesting food. In addition, because of age of other factors, levels of SAM-e can fluctuate or decline. Supplementation with SAM-e is the easiest way to increase intake. SAM-e is involved in over 35 biochemical reactions involving enzymatic transmethylation. The methylation process is the mechanism by which the body rids itself of potentially damaging compounds, synthesizes neurotransmitters, makes components of cartilage, regulates enzyme activity within the cell and maintains the flexibility of cell membranes. Science has been looking into this remarkable supplement nd time after time clinical studies have drawn the same conclusions, SAM-e: Promotes healthy joint function and comfort - Boosts mood and emotional well-being. SAM-e is a revolutionary supplement. Because of its popularity and use, it has received widespread exposure in the press. Information has appeared in newspapers, magazine, on the internet, or simply through word of mouth. Whether you're a first time SAM-e user, or have been a fan for years, you probably have some questions. Please see enclosed insert for more information. A note about our enteric coating: SAM-e is enterically coated sot hat you receive optimal absorption. The enteric coating ensures that the breakdown of SAM-e occurs in the small intestine. Clinical trials indicate that absorption is more efficient in the small intestine rather than in the stomach. In addition, the enteric coating is designed to protect SAM-e from moisture. The lack of an enteric coating should not be harmful to the stomach, and there have been no reported cases tot his effect. However, the enteric coating serves as a protective barrier so that SAM-e can be absorbed where it can provide you with the greatest benefits.
S-adenosylmethionine 200 mg
Precautions
Caution: You should consult your physician before using SAM-e if you are taking MAO Inhibitors. Individuals affected by bipolar (manic) depression should not take this product.
Like all supplements, SAM-e is not intended for use by children and you should consult your physician before using SAM-e if you are pregnant or nursing.
Like all supplements, SAM-e is not intended for use by children and you should consult your physician before using SAM-e if you are pregnant or nursing.
Discontinue use and consult your physician if gastrointestinal discomfort occurs.
Tamper Evident: Do not use if imprinted foil seal under cap is broken or missing.
Keep out of reach of children.
Formulation
Conforms to USP <2091> for weight. Meets USP <2040> disintegration for maximum bioavailability.
Gluten free
Promotes healthy joint function and comfort Boosts mood and emotional well-being Supports healthy liver function
SAM-e was discovered in Italy in 1952 and has been one of Europe's best kept secrets for years. Through extensive testing, SAM-e has been shown to be well tolerated by most. But, perhaps the best news is that SAM-e has been found to be a safe nontoxic supplement for nearly everyone in levels of up to 1,600 mg per day.
Mfg. in an FDA Registered Facility using Good Manufacturing Practices (GMPs)
Suitable for vegetarians/vegans.
Contains no wheat, soy, dairy, egg, fish/shellfish, peanuts/tree nuts.
Made in USA
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
Quali Pure
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Directions: For adults, we recommend taking two (2) tablets daily, preferably on an empty stomach. In order to obtain maximum benefits, SAM-e should be taken at least 30 minutes prior to a meal.
Storage
Keep tightly closed. Store at room temperature: 59 degrees - 86 degrees F (15 degrees to 30 degrees C).
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
SAM-e by DC 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 SAM-e by DC
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size2 Tablet(s) Dosage formTablet Or Pill Servings per container15 Amounts shown are per serving.
S-Adenosylmethionine
Interacts with189 drugs
SAM-e is a compound your body makes naturally that is sold as a supplement, most often for depression and osteoarthritis. Some research suggests it ma...
S-Adenosylmethionine monograph & interactionsOther (inactive) ingredients: Cellulose, Mannitol, Glyceryl Behenate, Vegetable Magnesium Stearate, Silicon Dioxide, Sodium Starch Glycolate, Enteric Coating. These complete the product’s ingredient list but are not active constituents.
SAM-e by DC Drug Interactions
HelloPharmacist Interaction Report
SAMe by DC interacts with serotonergic drugs (antidepressants, certain pain and migraine medications, and others that affect serotonin) and with levodopa, a medication for Parkinson disease.
The most serious concern is with serotonergic drugs: combining them with SAMe may raise the risk of serotonin syndrome, a condition marked by agitation, confusion, rapid heart rate, and muscle rigidity.
Read the full breakdown — every affected drug type, severity by severity
SAMe can also reduce how well levodopa works by breaking it down in your body, which matters if you're managing Parkinson disease symptoms. Both interactions are rated Moderate in severity.
Altogether, these interactions span 189 individual medications. If you take any prescription medication—especially an antidepressant, anti-anxiety drug, pain reliever, migraine medication, or levodopa—check your exact medications with the search tool on this page before starting SAMe.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against SAM-e?
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 SAM-e interact with 189 drugs. Click any drug to see the details.
1 of the 1 ingredient in SAM-e interact with drugs. Each result below shows which ingredient is responsible. S-Adenosylmethionine
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Chlorpheniramine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR
How Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylpropanolamineAlumadrine, Conex, Sinadrin Max Strength, Sinulin
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Chlorpheniramine, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, OpiumHista-Derfule
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, PhenyltoloxamineNorel Plus
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Phenyltoloxamine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Phenyltoloxamine interactionAcetaminophen, Chlorpheniramine, PseudoephedrineAlka-Seltzer PLUS Liquid Gels, Children's Tylenol Cold, Codimal, Comtrex, Extra Strength Tylenol Allergy Sinus, Lorsin +3 more
How Acetaminophen, Chlorpheniramine, Pseudoephedrine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Chlorpheniramine, Pseudoephedrine interactionAcetaminophen, DextromethorphanTylenol Cough Ex Strength
How Acetaminophen, Dextromethorphan interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Dextromethorphan interactionAcetaminophen, Dextromethorphan, Doxylamine, PseudoephedrineVicks NyQuil
How Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylephrineConar-A
How Acetaminophen, Dextromethorphan, Guaifenesin, Phenylephrine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Dextromethorphan, Guaifenesin, Phenylephrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylpropanolamineAnatuss
How Acetaminophen, Dextromethorphan, Guaifenesin, Phenylpropanolamine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Dextromethorphan, Guaifenesin, Phenylpropanolamine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PseudoephedrineRobitussin Cold, Severe Cold, Suphedrine Cold/Cough
How Acetaminophen, Dextromethorphan, Guaifenesin, Pseudoephedrine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Dextromethorphan, Guaifenesin, Pseudoephedrine interactionAcetaminophen, Dextromethorphan, Phenylpropanolamine, PyrilamineTheracaps
How Acetaminophen, Dextromethorphan, Phenylpropanolamine, Pyrilamine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Dextromethorphan, Phenylpropanolamine, Pyrilamine interactionAcetaminophen, Dextromethorphan, PseudoephedrineAlka-Seltzer PLUS Flu Liquid Gels, Non Aspirin Cold Caps, Tylenol Cold, Tylenol Flu Daytime Ex Strength, Tylenol Flu Ex Strength
How Acetaminophen, Dextromethorphan, Pseudoephedrine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, MeperidineDemerol APAP
How Acetaminophen, Meperidine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Meperidine interactionAcetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs
How Acetaminophen, Phenylephrine, Chlorpheniramine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Acetaminophen, Phenylephrine, Chlorpheniramine interactionAlmotriptanAlmogran, Axert
How Almotriptan interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Almotriptan interactionAlosetronLotronex
How Alosetron interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Alosetron interactionAmitriptylineElavil
How Amitriptyline interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Amitriptyline interactionAmitriptyline, ChlordiazepoxideLimbitrol DS
How Amitriptyline, Chlordiazepoxide interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Amitriptyline, Chlordiazepoxide interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Amitriptyline, Perphenazine interactionAmoxapineAsendin
How Amoxapine interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Amoxapine interactionAmphetamine Aspartate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine SulfateAdderall, Adderall XR
How Amphetamine Aspartate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Amphetamine Aspartate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate interactionAripiprazoleAbilify, Abilify Maintena, Abilify Mycite
How Aripiprazole interacts with SAM-e — through 1 ingredient. Tap an ingredient for the detail:
S-adenosylmethionineSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full S-adenosylmethionine + Aripiprazole interactionEach ingredient & the kinds of drugs it affects
For each ingredient in SAM-e with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
S-Adenosylmethionine
Levodopa
SAMe might reduce the effectiveness of levodopa.
SAMe methylates levodopa, which might reduce its effectiveness for treating Parkinson disease.
Serotonergic Drugs
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
SAMe has serotonergic effects. Theoretically, combining serotonergic drugs with SAMe might increase the risk of serotonergic side effects, including serotonin syndrome and cerebral vasoconstrictive disorders. In one case report, SAMe 100 mg intramuscularly was given daily with clomipramine (Anafranil) 25 mg per day. When the clomipramine dose was increased to 75 mg per day the patient experienced serotonin syndrome about 48-72 hours later, requiring hospitalization.
Brand information
Manufacturer and brand details for SAM-e, from the product label.
DC
See all DC products- Name
- Dee Cee Laboratories, Inc.
- Street Address
- 304 Dee Cee Rd.
- City
- White House
- State
- TN
- ZipCode
- 37188
SAM-e by DC: Common Questions
Does SAM-e by DC interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What is SAMe used for?
Can SAMe cause stomach problems?
Is SAMe safe if I have bipolar disorder?
Can I take SAMe while pregnant?
How does SAMe interact with antidepressants?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if SAM-e 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 SAM-e’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
SAM-e'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 31 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.
Same 31 references
- Perna AF, Castaldo P, Ingrosso D, et al. Homocysteine, a new cardiovascular risk factor, is also a powerful uremic toxin. J Nephrol 1999;12:230-40.
- Mato JM, Camara J, Fernandez de Paz J, et al. S-adenosylmethionine in alcoholic liver cirrhosis: a randomized, placebo-controlled, double-blind, multicenter clinical trial. J Hepatol 1999;30:1081-9. PubMed
- Iruela LM, Minguez L, Merino J, Monedero G. Toxic interaction of S-adenosylmethionine and clomipramine. Am J Psychiatry 1993;150:522. PubMed
- Bradley JD, Flusser D, Katz BP, et al. A randomized, double blind, placebo controlled trial of intravenous loading with S-adenosylmethionine (SAM) followed by oral SAM therapy in patients with knee osteoarthritis. J Rheumatol 1994;21:905-11.
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