SAMe & TMG Natural Lemon Flavor Ingredients & Drug Interactions
by XYMOGEN
What is this page for?
First and foremost: checking SAMe & TMG Natural Lemon Flavor 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 & TMG Natural Lemon Flavor is a dietary supplement by XYMOGEN with 2 active ingredients. Its ingredients are commonly taken for high homocysteine levels, liver health (fatty liver), exercise performance and strength.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-adenosyl-L-methionine. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against SAMe & TMG Natural Lemon Flavor by XYMOGEN
Ask about any prescription or over-the-counter medication and we check it for interactions with SAMe & TMG Natural Lemon Flavor by XYMOGEN — 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
Ask the Pharmacist
A licensed pharmacist will answer your question by email — free, usually within 24 hours.
Got it — thank you!
A licensed pharmacist will answer within 24 hours. Keep an eye on your email (worth checking spam, just in case).
HelloPharmacist Scorecard of SAMe & TMG Natural Lemon Flavor by XYMOGEN
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 2 active ingredients: betaine anhydrous and S-adenosyl-L-methionine (SAMe). Betaine anhydrous is an amino acid compound that your body uses to help regulate homocysteine levels—an amino acid linked to heart and brain health—and to support cellular function.
SAMe is a naturally occurring compound in your cells that plays a role in mood, joint health, and liver function. The product also contains inactive ingredients (sorbitol, calcium compounds, citric acid, malic acid, silica, turmeric extract, and natural lemon flavor) that serve as sweeteners, binders, and flavoring.
Does it work?
Strong evidence
SAMe has solid evidence for osteoarthritis, where it's considered likely effective at reducing joint pain and stiffness. It's possibly effective for depression and liver cholestasis (bile flow problems).
Betaine anhydrous is effective for homocystinuria, a rare inherited metabolic condition, and possibly effective for elevated homocysteine levels. For other uses in the product—ADHD, Alzheimer disease, GERD, colorectal adenoma, and nonalcoholic fatty liver disease—the evidence isn't established in our data.
How safe is it?
Well-documented data
Both ingredients are generally well tolerated at studied doses, but important cautions apply. SAMe may cause stomach upset, and there's a risk it could trigger mania in people with bipolar disorder.
Betaine anhydrous commonly causes body odor, GI distress, diarrhea, nausea, or vomiting; rarely, it may cause cerebral edema (swelling of the brain). For pregnancy, SAMe is rated possibly safe, but betaine anhydrous safety in pregnancy is not well established, so talk with your doctor before use.
Breastfeeding safety isn't well documented for either ingredient.
Meds to double-check
Moderate interaction found
Before taking this product, check with your doctor or pharmacist if you take serotonergic drugs—antidepressants, anti-anxiety medications, certain migraine or pain relievers—because SAMe may increase the risk of serotonin syndrome. If you take levodopa for Parkinson disease, SAMe may reduce its effectiveness.
Use the medication checker on this page to look up your exact prescriptions.
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.
If you have osteoarthritis or depression, SAMe is worth discussing with your doctor. Betaine anhydrous may help if you have high homocysteine levels.
Check your medications carefully before starting—especially if you take antidepressants or levodopa. Talk it over with your own doctor or pharmacist to make sure it's right for you and won't interfere with anything you're already taking.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Apr 25, 2014.
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 & TMG Natural Lemon Flavor, straight from the product label.
| Brand | XYMOGEN |
|---|---|
| Barcode (UPC) | 871149002947 |
| Net contents | 30 Sachet(s); 87 Gram(s); 3.07 oz. |
| Market status | On market |
| Date entered into DSLD | Apr 25, 2014 |
| DSLD ID | 32409 |
| Product type | Non-nutrient/non-botanical |
| Supplement form | Unknown |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Dairy Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for SAMe & TMG Natural Lemon Flavor by XYMOGEN, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Betaine Anhydrous | 600 mg | -- |
| S-adenosyl-L-methionine | 400 mg | -- |
Other ingredients: Sorbitol, Calcium Carbonate, Citric Acid, Malic Acid, Stearic Acid, Calcium Chloride, Calcium Oxide, Silica, Turmeric extract, natural Lemon flavor
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.
General Statements
Methyl Donors
SAMe & TMG is a sweet, yet slightly tart lemon-flavored powder. SAMe (S-adenosyl-L-methionine) and TMG (trimethylglycine) are naturally occurring substances that act as methyl donors during vital biochemical processes in the body. Methylation is essential to normal cell health and function. It can decline with age or chronic alcohol consumption, and it can be limited in some individuals due to their genetic makeup. SAMe donates methyl groups, which are needed for the synthesis of neurotransmitters, proteins, nucleic acids, and phospholipids. It supports glutathione production, liver health, joint comfort, and a healthy mood. TMG is an especially important methyl donor involved in the metabolism of homocysteine and the formation of SAMe. TMG ultimately supports cardiovascular and neurological health, as well as normal cell-life regulation.
This concentration makes SAMe & TMG cost effective as most SAMe formulations on the market contain less than 44% active SS isomer. Nitrogen-purged foil sachets maximize stability.
Pharmaceutical Grade - Professional Use Only
EXCLUSIVE PROFESSIONAL FORMULAS
Suggested/Recommended/Usage/Directions
DIRECTIONS: Consume one sachet one to four times daily away from meals, or as directed by your healthcare practitioner. Preferably pour a small amount of the contents of the entire sachet directly into the mouth and allow contents to dissolve. Alternately, contents may be added to 2-4 oz of water or preferred liquid; stir and drink within 15 minutes.
Precautions
Children and pregnant or lactating women should consult their healthcare practitioner prior to use.
Children and pregnant or lactating women should consult their healthcare practitioner prior to use.
Use special caution in individuals with bipolar disorder. Do not use if tamper seal is damaged.
Keep closed in a cool, dry place out of reach of children.
Formula
XYMOGEN's SAMe & TMG formulation contains a minimum of 70% of the SS isomer of SAMe, the active form the body can use most readily.
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.
Storage
STORAGE: Keep closed in a cool, dry place out of reach of children.
Formulation
DOES NOT CONTAIN: Wheat, gluten, corn protein, yeast, soy, animal or dairy products, fish, shellfish, egg, artificial colors, artificial sweeteners, or preservatives.
FDA Statement of Identity
Dietary Supplement
Brand IP Statement(s)
European Patent # EP2189154A1
All XYMOGEN(R) Formulas Meet or Exceed cGMP Quality Standards.
(C) 2012 XYMOGEN
General
ZLB-SAME-01 REV. 091112
Seals/Symbols
This package is completely recyclable (recycle)
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
SAMe & TMG Natural Lemon Flavor by XYMOGEN 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 & TMG Natural Lemon Flavor by XYMOGEN
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size2.9 Gram(s) Dosage formUnknown 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 Anhydrous
No knowninteractions
Betaine anhydrous (also called trimethylglycine) is a compound found in foods like beets, spinach, and whole grains, and is sold as a supplement and a...
Betaine Anhydrous monograph & interactionsS-adenosyl-L-methionine
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-adenosyl-L-methionine monograph & interactionsOther (inactive) ingredients: Sorbitol, Calcium Carbonate, Citric Acid, Malic Acid, Stearic Acid, Calcium Chloride, Calcium Oxide, Silica, Turmeric extract, Natural Lemon flavor. These complete the product’s ingredient list but are not active constituents.
SAMe & TMG Natural Lemon Flavor by XYMOGEN Drug Interactions
HelloPharmacist Interaction Report
SAMe & TMG by XYMOGEN has interactions documented for one of its two active ingredients.
S-adenosyl-L-methionine (SAMe) interacts with serotonergic drugs (antidepressants, certain pain relievers, migraine drugs) and levodopa, a medication for Parkinson disease. The most serious concern is with serotonergic drugs: combining SAMe with them raises the risk of serotonin syndrome, a condition where too much serotonin builds up in your system and can cause agitation, rapid heartbeat, high blood pressure, and muscle rigidity.
Read the full breakdown — every affected drug type, severity by severity
SAMe may also reduce how well levodopa works for managing Parkinson symptoms by chemically modifying the drug in your body. Betaine anhydrous, the product's other active ingredient, has no documented interactions with medications.
Altogether, these interactions span 189 individual medications. Before you start this product, use the medication checker below to look up your exact prescriptions—especially if you take any antidepressant, anti-anxiety drug, migraine medication, pain reliever, or levodopa.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against SAMe & TMG Natural Lemon Flavor?
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 & TMG Natural Lemon Flavor interact with 189 drugs. Click any drug to see the details.
1 of the 2 ingredients in SAMe & TMG Natural Lemon Flavor interact with drugs. Each result below shows which ingredient is responsible. S-adenosyl-L-methionine
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + 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 & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Chlorpheniramine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR
How Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylpropanolamineAlumadrine, Conex, Sinadrin Max Strength, Sinulin
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Chlorpheniramine, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, OpiumHista-Derfule
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, PhenyltoloxamineNorel Plus
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Phenyltoloxamine interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + 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 & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Chlorpheniramine, Pseudoephedrine interactionAcetaminophen, DextromethorphanTylenol Cough Ex Strength
How Acetaminophen, Dextromethorphan interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Dextromethorphan interactionAcetaminophen, Dextromethorphan, Doxylamine, PseudoephedrineVicks NyQuil
How Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylephrineConar-A
How Acetaminophen, Dextromethorphan, Guaifenesin, Phenylephrine interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Dextromethorphan, Guaifenesin, Phenylephrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylpropanolamineAnatuss
How Acetaminophen, Dextromethorphan, Guaifenesin, Phenylpropanolamine interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Dextromethorphan, Guaifenesin, Phenylpropanolamine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PseudoephedrineRobitussin Cold, Severe Cold, Suphedrine Cold/Cough
How Acetaminophen, Dextromethorphan, Guaifenesin, Pseudoephedrine interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Dextromethorphan, Guaifenesin, Pseudoephedrine interactionAcetaminophen, Dextromethorphan, Phenylpropanolamine, PyrilamineTheracaps
How Acetaminophen, Dextromethorphan, Phenylpropanolamine, Pyrilamine interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + 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 & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, MeperidineDemerol APAP
How Acetaminophen, Meperidine interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Meperidine interactionAcetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs
How Acetaminophen, Phenylephrine, Chlorpheniramine interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Acetaminophen, Phenylephrine, Chlorpheniramine interactionAlmotriptanAlmogran, Axert
How Almotriptan interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Almotriptan interactionAlosetronLotronex
How Alosetron interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Alosetron interactionAmitriptylineElavil
How Amitriptyline interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Amitriptyline interactionAmitriptyline, ChlordiazepoxideLimbitrol DS
How Amitriptyline, Chlordiazepoxide interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Amitriptyline, Chlordiazepoxide interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Amitriptyline, Perphenazine interactionAmoxapineAsendin
How Amoxapine interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Amoxapine interactionAmphetamine Aspartate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine SulfateAdderall, Adderall XR
How Amphetamine Aspartate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Amphetamine Aspartate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate interactionAripiprazoleAbilify, Abilify Maintena, Abilify Mycite
How Aripiprazole interacts with SAMe & TMG Natural Lemon Flavor — through 1 ingredient. Tap an ingredient for the detail:
S-adenosyl-l-methionineSerotonergic 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-adenosyl-l-methionine + Aripiprazole interactionEach ingredient & the kinds of drugs it affects
For each ingredient in SAMe & TMG Natural Lemon Flavor 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-adenosyl-L-methionine
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 & TMG Natural Lemon Flavor, from the product label.
XYMOGEN
See all XYMOGEN products- Name
- XYMOGEN Exclusive Professional Formulas
- Street Address
- 6900 Kingspointe Pkwy.
- City
- Orlando
- State
- FL
- ZipCode
- 32819
- Phone Number
- 800-647-6100
- Web Address
- www.xymogen.com
SAMe & TMG Natural Lemon Flavor by XYMOGEN: Common Questions
Does SAMe & TMG Natural Lemon Flavor by XYMOGEN interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Will this help my depression?
What's the body odor from betaine anhydrous about?
Is SAMe safe to take while breastfeeding?
Can I take this if I have bipolar disorder?
How much betaine is in here, and what does it do?
Does this interact with anything I take?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if SAMe & TMG Natural Lemon Flavor 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 & TMG Natural Lemon Flavor’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Betaine Anhydrous
Betaine anhydrous (also called trimethylglycine) is a compound found in foods like beets, spinach, and whole grains, and is sold as a supplement and as a prescription medicine for a rare gen...
Read the full Betaine Anhydrous monograph → Herb & supplement monographSame
Interacts with 189 drugsSAM-e is a compound your body makes naturally that is sold as a supplement, most often for depression and osteoarthritis. Some research suggests it may help with these conditions, but the qu...
Read the full Same monograph →Sources & How We Checked
SAMe & TMG Natural Lemon Flavor'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 42 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 Anhydrous 11 references
- Cystadane (betaine anhydrous for oral solution) Package insert. Orphan Medical, Inc. Minnetonka, MN. November 2005.
- Abdelmalek MF, Angulo P, Jorgensen RA, et al. Betaine, a promising new agent for patients with nonalcoholic steatohepatitis: results of a pilot study. Am J Gastroenterol 2001;96:2711-7.. PubMed
- Schwab U, Torronen A, Toppinen L, et al. Betaine supplementation decreases plasma homocysteine concentrations but does not affect body weight, body composition, or resting energy expenditure in human subjects. Am J Clin Nutr 2002;76:961-7. PubMed
- McGregor DO, Dellow WJ, Robson RA, et al. Betaine supplementation decreases post-methionine hyperhomocysteinemia in chronic renal failure. Kidney Int 2002;61:1040-6. PubMed
- Olthof MR, van Vliet T, Verhoef P, et al. Effect of homocysteine-lowering nutrients on blood lipids: results from four randomised, placebo-controlled studies in healthy humans. PloS Med 2005;2:e135. PubMed
- Knopman, D. and Patterson, M. An open-label, 24-week pilot study of the methyl donor betaine in Alzheimer disease patients. Alzheimer Dis.Assoc.Disord. 2001;15(3):162-165. PubMed
- Moat, S. J., Madhavan, A., Taylor, S. Y., Payne, N., Allen, R. H., Stabler, S. P., Goodfellow, J., McDowell, I. F., Lewis, M. J., and Lang, D. High- but not low-dose folic acid improves endothelial function in coronary artery disease. Eur J Clin Invest 2 PubMed
- Abdelmalek, M. F., Sanderson, S. O., Angulo, P., Soldevila-Pico, C., Liu, C., Peter, J., Keach, J., Cave, M., Chen, T., McClain, C. J., and Lindor, K. D. Betaine for nonalcoholic fatty liver disease: results of a randomized placebo-controlled trial. Hepa PubMed
- Ashtary-Larky D, Bagheri R, Ghanavati M, et al. Effects of betaine supplementation on cardiovascular markers: a systematic review and meta-analysis. Crit Rev Food Sci Nutr. 2021 Mar 25:1-18. PubMed
- Zawieja EE, Zawieja B, Chmurzynska A. Betaine supplementation moderately increases total cholesterol levels: a systematic review and meta-analysis. J Diet Suppl. 2021;18(1):105-117. PubMed
- Imbard A, Toumazi A, Magréault S, et al. Efficacy and pharmacokinetics of betaine in CBS and cblC deficiencies: a cross-over randomized controlled trial. Orphanet J Rare Dis 2022;17(1):417. PubMed
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
Parts of this content are provided by the Therapeutic Research Center, LLC.
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.
© 2021 Therapeutic Research Center, LLC