SAMe 400 mg Ingredients & Drug Interactions
What is this page for?
First and foremost: checking SAMe 400 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
SAMe 400 mg is a dietary supplement by California Gold Nutrition 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 SAMe 400 mg by California Gold Nutrition
Ask about any prescription or over-the-counter medication and we check it for interactions with SAMe 400 mg by California Gold Nutrition — 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 SAMe 400 mg by California Gold Nutrition
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 one active ingredient: ademetionine (SAMe), a naturally occurring compound your body makes. At 400 mg per tablet, it's supplied as the form ademetionine 1,4-butanedisulfonate.
The remaining ingredients are inactives—microcrystalline cellulose, croscarmellose sodium, ascorbyl palmitate, silicon dioxide, ascorbic acid, citric acid, methacrylic acid copolymer, hydroxypropyl methylcellulose, polyethylene glycol, triacetin, titanium dioxide, and riboflavin—which serve as binders, flow agents, preservatives, and capsule materials.
Does it work?
Strong evidence
SAMe is likely effective for osteoarthritis, meaning there's solid evidence it can help joint pain and function in that condition. For depression, the evidence is less complete—it's possibly effective, so it may help some people, but we can't be certain without more research.
For cholestasis (bile duct disease), it's also rated possibly effective. For Alzheimer's disease and ADHD, we don't yet have enough reliable evidence to know whether it works.
How safe is it?
Well-documented data
SAMe is generally well tolerated at typical doses, though side effects become more common at higher doses. The most frequent ones are nausea, diarrhea, constipation, dizziness, headache, insomnia, dry mouth, flatulence, nervousness, sweating, vomiting, and loss of appetite.
Some people also report rash, itching, or temporary hair loss. Because SAMe can trigger mania in people with bipolar disorder, it should only be used under a healthcare provider's guidance.
Overall, long-term safety isn't as well established as short-term use.
Meds to double-check
Moderate interaction found
Before taking SAMe, check with your doctor or pharmacist if you take serotonergic drugs (antidepressants, some pain relievers, migraine medications, and others) or levodopa for Parkinson's disease. Serotonergic drugs carry a Moderate risk of serotonin syndrome or other serotonergic side effects when combined with SAMe.
Levodopa may become less effective. Use the interaction checker below with your full medication list.
The bottom line
Scorecard at a glanceFully disclosed formula with clinical evidence supporting its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
SAMe may help with osteoarthritis and possibly with depression, but it interacts with a large number of medications—especially antidepressants and Parkinson's drugs. If you take any prescription medication, especially a serotonergic drug or levodopa, check it against the interaction search on this page before starting SAMe.
Talk with your doctor or pharmacist to see whether it's right for you and safe with your current regimen.
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 Dec 14, 2023.
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 SAMe 400 mg, straight from the product label.
| Brand | California Gold Nutrition |
|---|---|
| Barcode (UPC) | 898220011773 |
| Net contents | 60 Enteric Coated Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Dec 14, 2023 |
| DSLD ID | 299704 |
| Product type | Non-nutrient/non-botanical |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegetarian, Adult (18 - 50 Years), Women (not pregnant or lactating), 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 SAMe 400 mg by California Gold Nutrition, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| S-Adenosylmethionine | 400 mg | -- |
| Ademetionine 1,4-butanedisulfonate | 800 mg | -- |
Other ingredients: Microcrystalline Cellulose, Croscarmellose Sodium, Ascorbyl Palmitate, Silicon Dioxide, Ascorbic Acid, Citric Acid, Methacrylic Acid Copolymer, Hydroxypropyl Methylcellulose, Polyethylene Glycol, Triacetin, Titanium Dioxide, Riboflavin
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.
Formulation
SAMe may help support: Joints SAMe may help support joint health & mobility. Liver SAMe May help support healthy methylation enzymatic processes as well as hepatic glutathione levels, an antioxidant which is vital to a healthy liver. Mood SAMe methylation reactions are involved in the synthesis of neurotransmitters such as dopamine, epinephrine, phosphatidylcholine and serotonin, which may support a healthy mood.
Suitable for vegetarians
Formulated without: No gluten No GMOs No soy
Our SAMe is produced in a temperature-controlled (low temperature-low humidity) environment, using a proprietary fermentation process to ensure high (S,S) isomer levels. Our tablets are enteric coated and are double-foil blister sealed ensuring product integrity and protection from light, moisture and oxygen.
Not manufactured with milk, eggs, fish, crustacean shellfish, tree nuts, peanuts, wheat, soy, sesame, or gluten.
Benefits of individually double-foil blister sealed products: Optimal barrier to light, moisture and oxygen Ensures product integrity & protection Tamper resistant and tamper evident Durable
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.
General Statements
All California Gold Nutrition products come with a 100% gold guarantee. If you are not completely satisfied with your purchase, return the unused portion within 90 days for a full refund.
Double-Foil Blister Pack: Foil cavity (foil area/tray where tablets are placed) Foil lid (foil layer/backing that seals the tablets in the foil cavity)
Brand IP Statement(s)
California Gold Nutrition is a registered trademark of Madre Labs, LLC
Formula
S-Adenosyl methionine from ademetionine 1, 4-Butanedisulfonate
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Suggested use: Take 1 tablet daily with or without food. Best when taken as directed by a qualified healthcare professional.
Precautions
Not manufactured with milk, eggs, fish, crustacean shellfish, tree nuts, peanuts, wheat, soy, sesame, or gluten. Produced in an FDA-registered, third-party audited, and cGMP-compliant facility that may process other products that contain these allergens or ingredients.
Warnings: Keep out of reach of children.
Do not use if pregnant or nursing.
Individuals using physician-prescribed medications such as L-dopa or antidepressants (e.g., selective serotonin Re-uptake inhibitors [SSRIs] and MAOI inhibitors) should consult a physician before using SAMe.
Individuals with Parkinson's disease, bi-polar disorder or manic depression should not use SAMe. Do not exceed recommended intake. Please consult with a physician, pharmacist, naturopath or other qualified healthcare professional prior to taking dietary supplements. Note: SAMe may cause headaches & gastrointestinal disturbances (e.g., diarrhea, flatulence & nausea) in some individuals. Please discontinue use if you experience any of these issues.
Individually double-foil blister sealed for quality and your protection. Do not use if blister pack material is punctured or missing.
Storage
Store in a cool dry place. Protect from heat, light, and moisture.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
SAMe 400 mg by California Gold Nutrition 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 SAMe 400 mg by California Gold Nutrition
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Tablet(s) Dosage formTablet Or Pill Servings per container60 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: Microcrystalline Cellulose, Croscarmellose Sodium, Ascorbyl Palmitate, Silicon Dioxide, Ascorbic Acid, Citric Acid, Methacrylic Acid Copolymer, Hydroxypropyl Methylcellulose, Polyethylene Glycol, Triacetin, Titanium Dioxide, Riboflavin. These complete the product’s ingredient list but are not active constituents.
SAMe 400 mg by California Gold Nutrition Drug Interactions
HelloPharmacist Interaction Report
California Gold Nutrition's SAMe 400 mg can interact with medications, primarily through its serotonergic effects and potential impact on Parkinson's disease treatment.
The main concern is with serotonergic drugs—antidepressants, certain pain relievers, and related medications—where SAMe may increase the risk of serotonin syndrome (a serious condition involving agitation, confusion, rapid heart rate, and high blood pressure) and other serotonergic side effects. This is a Moderate-severity risk.
Read the full breakdown — every affected drug type, severity by severity
SAMe may also reduce how well levodopa works for Parkinson's disease by a process called methylation, which lowers the drug's effectiveness. This too is rated Moderate severity.
Altogether, these interactions span 189 individual medications. Because the list is extensive and includes common antidepressants and other widely used drugs, it's important to check your exact medications with the search tool below before you start SAMe.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against SAMe 400 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 SAMe 400 mg interact with 189 drugs. Click any drug to see the details.
1 of the 1 ingredient in SAMe 400 mg 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 SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Chlorpheniramine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR
How Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylpropanolamineAlumadrine, Conex, Sinadrin Max Strength, Sinulin
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Chlorpheniramine, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, OpiumHista-Derfule
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, PhenyltoloxamineNorel Plus
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Phenyltoloxamine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + 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 SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Chlorpheniramine, Pseudoephedrine interactionAcetaminophen, DextromethorphanTylenol Cough Ex Strength
How Acetaminophen, Dextromethorphan interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Dextromethorphan interactionAcetaminophen, Dextromethorphan, Doxylamine, PseudoephedrineVicks NyQuil
How Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylephrineConar-A
How Acetaminophen, Dextromethorphan, Guaifenesin, Phenylephrine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Dextromethorphan, Guaifenesin, Phenylephrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylpropanolamineAnatuss
How Acetaminophen, Dextromethorphan, Guaifenesin, Phenylpropanolamine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Dextromethorphan, Guaifenesin, Phenylpropanolamine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PseudoephedrineRobitussin Cold, Severe Cold, Suphedrine Cold/Cough
How Acetaminophen, Dextromethorphan, Guaifenesin, Pseudoephedrine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Dextromethorphan, Guaifenesin, Pseudoephedrine interactionAcetaminophen, Dextromethorphan, Phenylpropanolamine, PyrilamineTheracaps
How Acetaminophen, Dextromethorphan, Phenylpropanolamine, Pyrilamine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + 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 SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, MeperidineDemerol APAP
How Acetaminophen, Meperidine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Meperidine interactionAcetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs
How Acetaminophen, Phenylephrine, Chlorpheniramine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Acetaminophen, Phenylephrine, Chlorpheniramine interactionAlmotriptanAlmogran, Axert
How Almotriptan interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Almotriptan interactionAlosetronLotronex
How Alosetron interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Alosetron interactionAmitriptylineElavil
How Amitriptyline interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Amitriptyline interactionAmitriptyline, ChlordiazepoxideLimbitrol DS
How Amitriptyline, Chlordiazepoxide interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Amitriptyline, Chlordiazepoxide interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Amitriptyline, Perphenazine interactionAmoxapineAsendin
How Amoxapine interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Amoxapine interactionAmphetamine Aspartate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine SulfateAdderall, Adderall XR
How Amphetamine Aspartate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Amphetamine Aspartate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate interactionAripiprazoleAbilify, Abilify Maintena, Abilify Mycite
How Aripiprazole interacts with SAMe 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Ademetionine 1,4-butanedisulfonateSerotonergic Drugs Moderate
Interaction Summary
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Ademetionine 1,4-butanedisulfonate + Aripiprazole interactionEach ingredient & the kinds of drugs it affects
For each ingredient in SAMe 400 mg 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 SAMe 400 mg, from the product label.
California Gold Nutrition
See all California Gold Nutrition products- Name
- Madre Labs, LLC
- Street Address
- 301 North Lake Avenue, Suite 500
- City
- Pasadena
- State
- CA
- ZipCode
- 91101
- Web Address
- www.calgn.com
SAMe 400 mg by California Gold Nutrition: Common Questions
Does SAMe 400 mg by California Gold Nutrition interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take SAMe if I'm pregnant or breastfeeding?
What's the most common side effect?
Will SAMe help my depression?
Can SAMe trigger mania?
Does this product have fillers?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if SAMe 400 mg 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 SAMe 400 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
SAMe 400 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 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.
- Berlanga C, Ortega-Soto HA, Ontiveros M, Senties H. Efficacy of S-adenosyl-L-methionine in speeding the onset of action of imipramine. Psychiatry Res 1992;44:257-62. PubMed
- Kagan BL, Sultzer DL, Rosenlicht N, Gerner RH. Oral S-adenosylmethionine in depression: a randomized, double-blind, placebo-controlled trial. Am J Psychiatry 1990;147:591-5. PubMed
- Rosenbaum JF, Fava M, Falk WE, et al. The antidepressant potential of oral S-adenosyl-l-methionine. Acta Psychiatr Scand 1990;81:432-6. PubMed
- Domljan Z, Vrhovac B, Durrigl T, Pucar I. A double-blind trial of ademetionine vs naproxen in activated gonarthrosis. Int J Clin Pharmacol Ther Toxicol 1989;27:329-33.
- Konig B. A long-term (two years) clinical trial with S-adenosylmethionine for the treatment of osteoarthritis. Am J Med 1987;83:89-94. PubMed
- Lipinski JF, Cohen BM, Frankenburg F, et al. Open trial of S-adenosylmethionine for treatment of depression. Am J Psychiatry 1984;141:448-50.
- Almasio P, Bortolini M, Pagliaro L, Coltorti M. Role of S-adenosyl-L-methionine in the treatment of intrahepatic cholestasis. Drugs 1990;40:111-23. PubMed
- Friedel HA, Goa KL, Benfield P. S-adenosyl-L-methionine. A review of its pharmacological properties and therapeutic potential in liver dysfunction and affective disorders in relation to its physiological role in cell metabolism. Drugs 1989;38:389-416. PubMed
- Bottiglieri T, Hyland K, Reynolds EH. The clinical potential of ademetionine (S-adenosylmethionine) in neurological disorders. Drugs 1994;48:137-52. PubMed
- Frezza M, Centini G, Cammareri G, et al. S-adenosylmethionine for the treatment of intrahepatic cholestasis of pregnancy. Results of a controlled clinical trial. Hepatogastroenterology 1990;37:122-5.
- Singhal AB, Caviness VS, Begleiter AF, et al. Cerebral vasoconstriction and stroke after use of serotonergic drugs. Neurology 2002;58:130-3. PubMed
- Charlton CG, Crowell B Jr. Parkinson's disease-like effects of S-adenosyl-L-methionine: effects of L-dopa. Pharmacol Biochem Behav 1992;43:423-31..
- Goren JL, Stoll AL, Damico KE, et al. Bioavailability and lack of toxicity of S-adenosyl-L-methionine (SAMe) in humans. Pharmacotherapy 2004;24:1501-7. PubMed
- Arnold O, Saletu B, Anderer P, et al. Double-blind, placebo-controlled pharmacodynamic studies with a nutraceutical and a pharmaceutical dose of ademetionine (SAMe) in elderly subjects, utilizing EEG mapping and psychometry. Eur Neuropsychopharmacol 2005; PubMed
- Nelson JC. S-adenosyl methionine (SAMe) augmentation in major depressive disorder. (Editorial). Am J Psychiatry 2010;167:889-91.
- Kim J, Lee EY, Koh EM, et al. Comparative clinical trial of S-adenosylmethionine versus nabumetone for the treatment of knee osteoarthritis: an 8-week, multicenter, randomized, double-blind, double-dummy, Phase IV study in Korean patients. Clin Ther 2009; PubMed
- Manzillo G, Piccinino F, Surrenti C, et al. Multicentre double-blind placebo-controlled study of intravenous and oral S-adenosyl-L-methionine (SAMe) in cholestatic patients with liver disease. Drug Invest 1992;4 (Suppl 4):90-100. DOI
- Carrieri PB, Indaco A, Gentile S, et al. S-adenosylmethionine treatment of depressioin in patients with Parkinson's disease: a double-blind, crossover study versus placebo. Curr Ther Res 1990;48(1):154-60.
- Pancheri P, Scapicchio P, Delle Chiaie R. A double-blind, randomized parallel-group, efficacy and safety study of intramuscular S-adenosyl-L-methionine 1,4-butanedisulphonate (SAMe) versus imipramine in patients with major depressive disorder. Int J Neuro PubMed
- Medici V., Virata M. C., Peerson J. M., Stabler S. P., French S. W., Gregory J. F. III, Albanese A., Bowlus C. L., Devaraj S., Panacek E. A., Richards J. R., Halsted C. H. S-adenosyl-L-methionine treatment for alcoholic liver disease: a double-blinded, ra
- Chitiva, H., Audivert, F., and Alvarez, C. Suicide attempt by self-burning associated with ingestion of S-adenosylmethionine: a review of the literature and case report. J.Nerv.Ment.Dis. 2012;200(1):99-101. PubMed
- Carney, M. W., Edeh, J., Bottiglieri, T., Reynolds, E. M., and Toone, B. K. Affective illness and S-adenosyl methionine: a preliminary report. Clin Neuropharmacol. 1986;9(4):379-385. PubMed
- Miccoli, L., Porro, V., and Bertolino, A. Comparison between the antidepressant activity and of S- adenosylmethionine (SAMe) and that of some tricyclic drugs. Acta Neurol (Napoli) 1978;33 (3):243-255.
- Bacci, Ballerini F., Lopez, Anguera A., Alcaraz, P., and Hernandez, Reyes N. [SAMe in the management of postconcussional syndrome]. Medicina Clinica (Barc.) 1983;80(4):161-164.
- Muscettola G, Galzenati M, Balbi A. SAMe versus placebo: a double blind comparison in major depressive disorders. Advances in Biochemical Psychopharmacology 1982;32:151-6.
- Capretto C, Cremona C, and Canaparo L. A double-blind controlled study of S-adenosylmethionine (SAMe) v. ibuprofen in gonarthrosis, coxarthrosis and spondylarthrosis. Clin Trials J 1985;22(1):15-24.
- Ancarani E, Biondi B, Bolletta A, et al. Major depression complicating hemodialysis in patients with chronic renal failure: a multicenter, double-blind, controlled clinical trial of S-adenosyl-L-methionine versus placebo. Curr Ther Res 1993;54(6):680-6. DOI
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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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