Serrapeptase Ingredients & Drug Interactions
by BioAnue
What is this page for?
First and foremost: checking Serrapeptase 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
Serrapeptase is a dietary supplement by BioAnue with 1 active ingredient. Its ingredients are commonly taken for inflammation and swelling, sinus and respiratory congestion, pain after surgery or injury.Based on those ingredients, 122 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Serrapeptase. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Serrapeptase by BioAnue
Ask about any prescription or over-the-counter medication and we check it for interactions with Serrapeptase by BioAnue — 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 Serrapeptase by BioAnue
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
BioAnue Serrapeptase is a single-ingredient product: serrapeptase, an enzyme with fibrinolytic properties—meaning it can break down fibrin, a protein involved in blood clotting and scar tissue formation. The capsule itself is gelatin.
Does it work?
Couldn't assess
The evidence for serrapeptase is limited. We don't have reliable data to rate whether it works for chronic bronchitis, asthma, atherosclerosis, back pain, or osteoporosis—the conditions it's typically marketed for.
That doesn't mean it doesn't work; it means the research so far isn't strong enough to say one way or the other.
How safe is it?
Well-documented data
Serrapeptase is generally well tolerated over the short term. The most common side effects reported are epigastric pain (upper belly pain), gastrointestinal upset, and nausea—though these appear to happen at the same rate as placebo in trials.
A rare serious side effect, bullous pemphigoid (a blistering skin condition), has been reported. Long-term safety isn't well studied, so we don't know what happens if you take it for months or years.
There isn't enough safety data to recommend serrapeptase during pregnancy or while breastfeeding. Talk with your doctor or pharmacist about whether it's right for you if you're pregnant, planning to become pregnant, or nursing.
Meds to double-check
Moderate interaction found
Before you take BioAnue Serrapeptase, check with your doctor or pharmacist if you're on any blood thinners (anticoagulants) or antiplatelet drugs—including warfarin, aspirin, clopidogrel, or others. Serrapeptase may increase bleeding risk when combined with these medications.
The bottom line
Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Serrapeptase might appeal to you if you're looking for an enzyme supplement, but the evidence for it doesn't yet back most claims. If you take blood thinners or antiplatelet drugs, this product is a concern and needs a conversation with your doctor or pharmacist before you start.
Long-term safety is unclear, and pregnancy and breastfeeding safety data is lacking.
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 Nov 25, 2013.
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 Serrapeptase, straight from the product label.
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 Serrapeptase by BioAnue, sourced from the NIH Dietary Supplement Label Database.
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.
FDA Disclaimer Statement
This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
General Statements
Your Edge - Your New Beginning
Suggested/Recommended/Usage/Directions
Usage: As a dietary supplement consume 1 to 6 capsules per day, or as directed by a health care professional.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Serrapeptase by BioAnue 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 Serrapeptase by BioAnue
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container90 Amounts shown are per serving.
Serrapeptase
Interacts with122 drugs
Serrapeptase is an enzyme marketed to reduce inflammation, swelling, pain, and mucus, but the human evidence is limited and mostly low quality. If you...
Serrapeptase monograph & interactionsOther (inactive) ingredients: Gelatin Capsule. These complete the product’s ingredient list but are not active constituents.
Serrapeptase by BioAnue Drug Interactions
HelloPharmacist Interaction Report
BioAnue Serrapeptase interacts with blood thinners and antiplatelet drugs through its fibrinolytic activity (the ability to break down blood clots).
The concern is Moderate: taking serrapeptase alongside these medications—like warfarin, aspirin, or clopidogrel—might increase your risk of bruising and bleeding.
Read the full breakdown — every affected drug type, severity by severity
Altogether, these interactions span 122 individual medications.
If you take any blood thinner or antiplatelet drug, check your exact medications with the search tool on this page before you start serrapeptase, and run it by your doctor or pharmacist first.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Serrapeptase?
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 Serrapeptase interact with 122 drugs. Click any drug to see the details.
1 of the 1 ingredient in Serrapeptase interact with drugs. Each result below shows which ingredient is responsible. Serrapeptase
AbciximabReoPro
How Abciximab interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Abrocitinib interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Acetaminophen, Ibuprofen interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Acetylsalicylic Acid interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAnacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Anacaulase-bcdb interactionAnagrelideAgrylin
How Anagrelide interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Anagrelide interactionAnisindioneMiradon
How Anisindione interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Anisindione interactionAntithrombin IiiThrombate III
How Antithrombin Iii interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Antithrombin Iii interactionApixabanEliquis
How Apixaban interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Apixaban interactionArgatrobanArgatroban
How Argatroban interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Argatroban interactionAspirinAngettes 75, ASA, Asaphen, Aspirin, Caprin, Cartia +8 more
How Aspirin interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aspirin interactionAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
How Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionAspirin, ButalbitalAxotal
How Aspirin, Butalbital interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aspirin, Butalbital interactionAspirin, Butalbital, CaffeineFiorinal
How Aspirin, Butalbital, Caffeine interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aspirin, Butalbital, Caffeine interactionAspirin, Butalbital, Caffeine, Codeine PhosphateFiorinal w/ Codeine
How Aspirin, Butalbital, Caffeine, Codeine Phosphate interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aspirin, Butalbital, Caffeine, Codeine Phosphate interactionAspirin, Butalbital, Caffeine, PhenacetinMarnal
How Aspirin, Butalbital, Caffeine, Phenacetin interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aspirin, Butalbital, Caffeine, Phenacetin interactionAspirin, CaffeineAnacin
How Aspirin, Caffeine interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aspirin, Caffeine interactionAspirin, Caffeine, Codeine PhosphateAnacin w/ Codeine
How Aspirin, Caffeine, Codeine Phosphate interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aspirin, Caffeine, Codeine Phosphate interactionAspirin, Caffeine, Dihydrocodeine BitartrateSynalgos DC
How Aspirin, Caffeine, Dihydrocodeine Bitartrate interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aspirin, Caffeine, Dihydrocodeine Bitartrate interactionAspirin, Caffeine, Dover's PwdAcedoval, Dovacet
How Aspirin, Caffeine, Dover's Pwd interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aspirin, Caffeine, Dover's Pwd interactionAspirin, Caffeine, HydrocodoneDamason-P
How Aspirin, Caffeine, Hydrocodone interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aspirin, Caffeine, Hydrocodone interactionAspirin, Caffeine, Isobutylallylbarbituric Acid, PhenacetinLanorinal
How Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin interactionAspirin, Caffeine, OrphenadrineInvagesic, Invagesic Forte, Norgesic, Norgesic Forte, Orphengesic, Orphengesic Forte
How Aspirin, Caffeine, Orphenadrine interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aspirin, Caffeine, Orphenadrine interactionAspirin, Caffeine, Phenacetin, PropoxypheneMargesic Comp. 65
How Aspirin, Caffeine, Phenacetin, Propoxyphene interacts with Serrapeptase — through 1 ingredient. Tap an ingredient for the detail:
SerrapeptaseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
Read the full Serrapeptase + Aspirin, Caffeine, Phenacetin, Propoxyphene interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Serrapeptase 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.
Serrapeptase
Anticoagulant/Antiplatelet Drugs
Theoretically, taking serrapeptase with drugs that have antiplatelet or anticoagulant effects might increase the risk of bruising and bleeding.
In vitro research shows that serrapeptase has fibrinolytic activity.
Brand information
Manufacturer and brand details for Serrapeptase, from the product label.
BioAnue
See all BioAnue products- Name
- BioAnue Laboratories Inc.
- Street Address
- P.O. Box 1056, 123 Wood Tech Dr.
- City
- Rochelle
- State
- GA
- ZipCode
- 31079
- Phone Number
- (229) 365-7222
Serrapeptase by BioAnue: Common Questions
Does Serrapeptase by BioAnue interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm on aspirin or warfarin?
Is serrapeptase safe long-term?
Can I take this while pregnant or breastfeeding?
What are the side effects?
Does serrapeptase actually work for back pain or arthritis?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Serrapeptase 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 Serrapeptase’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Serrapeptase'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 2 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.
Serrapeptase 2 references
- Tachibana M, Mizukoshi O, Harada Y, et al. A multi-centre, double-blind study of serrapeptase versus placebo in post-antrotomy buccal swelling. Pharmatherapeutica 1984;3:526-30..
- Mazzone A, Catalani M, Costanzo M, et al. Evaluation of Serratia peptidase in acute or chronic inflammation of otorhinolaryngology pathology: a multicentre, double-blind, randomized trial versus placebo. J Int Med Res 1990;18:379-88.. PubMed
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