Shred Matrix Ingredients & Drug Interactions
by MusclePharm
What is this page for?
First and foremost: checking Shred Matrix 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
Shred Matrix is a dietary supplement by MusclePharm with 12 active ingredients. Its ingredients are commonly taken for hair growth and thinning hair, brittle nails, skin health.Based on those ingredients, 1,667 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Niacin, Magnesium, Chromium. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
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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 Shred Matrix by MusclePharm
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
Low disclosure
Shred Matrix contains 21 ingredients across multiple functional stages. The active ingredients include biotin and pantothenic acid (B vitamins), caffeine anhydrous and three caffeine-containing botanicals (yerba mate, guarana seed extract, green tea extract), niacin, chromium, magnesium, and whole herbs like eleuthero, olive leaf extract, fo-ti, cayenne, saw palmetto, and suma extract.
Several ingredients are grouped into proprietary blends labeled as stages for energy, appetite, mood, brain power, diuretic, and enzyme support; we hold no interaction data for these stage blends. The product also contains inactive ingredients: gelatin, magnesium stearate, and microcrystalline cellulose (a filler).
Does it work?
Strong evidence
The evidence for Shred Matrix's ingredients is mixed. Biotin is likely effective for biotin deficiency but has insufficient evidence for hair loss and is possibly ineffective for MS and seborrheic dermatitis.
Pantothenic acid is effective for pantothenic acid deficiency but insufficient for most other uses. Caffeine is effective for neonatal apnea and postoperative headache, and likely effective for mental alertness and athletic performance.
Niacin is likely effective for pellagra but only possibly effective for metabolic syndrome and HIV-related cholesterol issues. Chromium is likely effective for chromium deficiency and possibly effective for blood sugar, but possibly ineffective for prediabetes.
Cayenne is likely effective for nerve pain and diabetic neuropathy. Green tea extract is likely effective for HPV and possibly effective for cholesterol and ovarian cancer.
For yerba mate, guarana, eleuthero, fo-ti, saw palmetto, olive leaf, and suma, the evidence is insufficient or not established in the data we hold — their effectiveness for weight loss or the other claims on this product is not documented here.
How safe is it?
Well-documented data
Most ingredients are generally well tolerated at typical doses, though several carry cautions. Caffeine at high doses can cause anxiety, insomnia, jitteriness, nausea, and rarely stroke.
Niacin commonly causes flushing and gastrointestinal upset and rarely liver damage, especially in sustained-release form. Green tea extract has been linked to rare cases of liver injury at high doses.
Fo-ti carries the most serious safety concern — it has been associated with approximately 450 documented cases of hepatitis, ranging from mild to cirrhosis and liver failure, at a wide range of doses and formulations. Eleuthero, while often well tolerated short-term, has limited long-term safety data and has been linked to increased blood pressure and heart effects in some patients.
Yerba mate and guarana are high in caffeine and unsafe at high doses. Chromium and magnesium are generally safe at dietary levels but can cause gastrointestinal upset, and magnesium at high doses or long-term use carries rare risks.
Pregnancy and breastfeeding: biotin, pantothenic acid, niacin, and magnesium are likely safe or possibly safe in pregnancy at normal doses; caffeine and yerba mate should be limited; eleuthero, fo-ti, saw palmetto, guarana, and green tea extract should be avoided in pregnancy due to insufficient safety data or safety concerns.
Meds to double-check
Major interaction found
Check your medications urgently if you take ephedrine (Major risk of life-threatening stimulant effects from caffeine and green tea). Also confirm with your pharmacist before using if you take: blood thinners or antiplatelet drugs (warfarin, aspirin); antidiabetes medications or insulin; antihypertensive or heart drugs (nadolol, atorvastatin, calcium channel blockers, ACE inhibitors); seizure medications (phenobarbital, carbamazepine, phenytoin, valproate, felbamate, ethosuximide); psychiatric medications (clozapine); or any drug metabolized by the liver's cytochrome P450 system.
No interactions are documented for the proprietary stage blends themselves, but their specific component ingredients are not identified on file.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with clinical evidence supporting its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
Shred Matrix is a complex, multi-ingredient weight-loss formula with active compounds ranging from well-studied vitamins to botanicals with limited effectiveness evidence. The product carries significant interaction risks, most critically with ephedrine and blood thinners, and serious safety concerns with fo-ti (documented liver injury) and high caffeine content (1,615 medication interactions documented across ingredients).
If you take any prescription or over-the-counter medications, especially those for blood pressure, blood sugar, seizure control, heart rhythm, or blood clotting, talk with your pharmacist or doctor before using this product.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 16 of 21 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Feb 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 Shred Matrix, straight from the product label.
| Brand | MusclePharm |
|---|---|
| Barcode (UPC) | 71812265798 |
| Net contents | 120 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Feb 25, 2013 |
| DSLD ID | 18006 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Shred Matrix by MusclePharm, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Biotin | 150 mcg | 50% |
| Pantothenic Acid | 3 mg | 30% |
| Caffeine Anhydrous | 150 mg | -- |
| Niacin | 3 mg | 15% |
| Yerba Mate | 0 NP | -- |
| Eleuthero | 0 NP | -- |
| Olive leaf extract | 1 mg | 6% |
| Fo-Ti | 0 NP | -- |
| Yohimbine HCl | 0 NP | -- |
| Chromium | 100 mcg | 83% |
| Guarana seed extract | 0 NP | -- |
| Cayenne | 0 NP | -- |
| Saw Palmetto | 0 NP | -- |
| 8 Stage Weight Loss Proprietary Blend | 2437.5 mg | -- |
| Magnesium | 3.5 mg | 1% |
| Stages 1 & 2: Energy & Fat Metabolism | 0 NP | -- |
| Green Tea Extract | 0 NP | -- |
| Suma Extract | 0 NP | -- |
| Stages 3 & 4: Appetite Balancing & Weight Management Control | 0 NP | -- |
| Stage 5: Anti-Stress Mood Balancing Matrix | 0 NP | -- |
| Stage 6: Brain Power Matrix | 0 NP | -- |
| Stage 7: Diuretic Complex | 0 NP | -- |
| Stage 8: Sugar Stop(TM) & Enzyme Aid Matrix | 0 NP | -- |
Other ingredients: Gelatin, Magnesium Stearate, Microcrystalline Cellulose
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.
Brand IP Statement(s)
WHAT IS SHRED MATRIX(TM)?
MADE IN A cGMP AND NSF(R) CERTIFIED FACILITY
Cory Gregory {signature} (R)
LIVE SHREDDED(TM)
SHRED MATRIX(TM)
MP MUSCLEPHARM(R) THE ATHLETE'S COMPANY(TM)
STAGES 1 AND 2: INCREASED ENERGY AND RAMP UP METABOLISM. SHRED MATRIX(TM) meticulously combines several carefully selected natural stimulant agents that have proven fat loss properties. These select herbs are the double-edged weapon against stored fat. These key ingredients support the mobilization and utilization of stored fats, to be used for energy. These same ingredients simultaneously deliver concentrated, sustained, performance-enhancing energy and focus without jitter or crash by speeding up metabolism and feeding the ramped up metabolic rate with fats pulled from the body’s fat stores. STAGES 3 AND 4: CRUSH HUNGER & BLOCK FAT FORMATION. SHRED MATRIX(TM) helps regulate blood sugar, which directly impacts the hunger sensation, appetite and energy levels. SHRED MATRIX(TM) also supports favorable nutrient repartitioning, which means increasing insulin sensitivity and facilitating the uptake of carbohydrates directly into muscle cells, away from fat storage areas, thus “blocking” fat formation. Better nutrient absorption means greater fat utilization for energy. STAGE 5: ANTI-STRESS (ADAPTOGEN), MOOD-BALANCING BLEND. SHRED MATRIX(TM) makes it easy for you to stick to your nutritional plan by including several key adaptogenic, mood-enhancing and balancing agents to help counter the irritability and mood swings that can be associated with dieting. These natural, herbal ingredients may contribute to an improved sense of well-being and enhance mood by supporting healthy brain chemistry. STAGE 6: RAZOR-SHARP MENTAL FOCUS, WITHOUT JITTER OR CRASH. SHRED MATRIX(TM) contains key herbal ingredients that help support natural brain chemistry, to enhance mental function and improve mood – very important to successful dieting! SHRED MATRIX(TM)’s sophisticated formula provides all-day energy without crash or jitter. Perform better with razor sharp focus and alertness using SHRED MATRIX(TM). STAGE 7: ELIMINATE EXCESS WATER. SHRED MATRIX’s diuretic complex will help maintain fluid balance to keep your physique LEAN and TIGHT. Keeping the water in the right places and maintaining healthy fluid balance, will help the body systems work more efficiently, resulting in the tight, lean appearance that we’re all after. STAGE 8: SUGAR STOP(TM) AND ENZYME AID MATRIX DESTROY SUGAR CRAVINGS. SHRED MATRIX(TM) addresses the problem of sugar/sweet cravings with the proprietary Sugar Stop Matrix(TM). Sugar Stop(TM) crushes the craving for sweets and sugar often associated with dieting for weight loss. The key enzymes in SHRED MATRIX(TM) help shuttle nutrients more efficiently into the bloodstream, maintaining better blood sugar maintenance for better control of cravings, and better use of ingested calories.
Precautions
Consult your physician prior to use if you have a medical condition, including but not limited to, heart, liver, kidney, or thyroid disease, psychiatric or epileptic disorders, difficulty urinating, diabetes, high blood pressure, cardiac arrhythmia, recurrent headaches, enlarged prostate or glaucoma. Discontinue 2 weeks prior to surgery or if you experience rapid heart beat, dizziness, severe headache or shortness of breath.
KEEP OUT OF REACH OF CHILDREN.
ALLERGEN WARNING: This product was produced in a facility that may also process ingredients containing milk, egg, soybeans, shellfish, fish, tree nuts, and peanuts.
WARNING: Taking this product without adequate fluid may cause it to swell and block your throat or esophagus and may cause choking. Do not take this product if you have difficulty in swallowing. If you experience chest pain, vomiting, or difficulty in swallowing or breathing after taking this product, seek immediate medical attention. Not intended for use by persons under age 18. Do not exceed recommended dose. Do not consume synephrine or caffeine from other sources, including but not limited to, coffee, tea, soda and other dietary supplements or medications containing phenylephrine or caffeine. Contains caffeine. Do not use for more than 8 weeks.
Consult with your physician prior to use if you are pregnant or nursing, or if you are taking medication, including but not limited to MAO Inhibitors (MAOI), antidepressants, aspirin, nonsteroidal anti-inflammatory drugs or products containing phylephrine, ephedrine, pseudoephedrine, or other stimulants.
General Statements
-The most powerful fat loss system available! -IS COMPLETELY unique - utilizing the power of THE comprehensive, 8-STAGE FAT LOSS SYSTEM, formulated to help you achieve the tight, fit, lean and toned body you've been seeking. -Utilizes the body's multiple energy pathways to mobilize fat to become the body's primary fuel source. -Destroys cravings, curbs hunger, improves energy and alertness, and enhances mental focus and mood.
MADE IN USA
AS MUSCLEPHARM’S PRESIDENT, IT’S IMPORTANT TO ME THAT MUSCLEPHARM PRODUCTS PERFORM! OUR COMPANY WAS BUILT BY ATHLETES, FOR ATHLETES, SO IT’S IMPORTANT THAT I WALK THE WALK TOO! SO, I PUT MY MONEY WHERE MY MOUTH IS WHEN I DECIDED TO GET INTO THE BEST SHAPE OF MY LIFE. I USED SHRED MATRIXTM TO GET INTO MY BEST CONDITION EVER AND I’M JUST AMAZED WITH THE RESULTS! I WOULD WAKE UP EACH MORNING LEANER AND TIGHTER, ALMOST AS IF THE FAT WERE MELTING AWAY RIGHT BEFORE MY EYES! AND THE BEST THING I NOTICED ABOUT SHRED MATRIX(TM) - I WAS NEVER HUNGRY! AMAZING APPETITE CONTROL, AMAZING RESULTS! BUT DON'T TAKE MY WORD FOR IT GET SHRED MATRIXTM NOW AND SEE FOR YOURSELF! (TRUST ME, I’M THE PRESIDENT OF MUSCLEPHARM. - I WOULDN’T PUT MY PICTURE ON THE BOX IF I DIDN’T BELIEVE IN THIS PRODUCT!
PRESIDENT MUSCLEPHARM
GET THE FREE DIET & TRAINING GUIDE AND LIVE THE SHRED LIFESTYLE!
FREE DIET & TRAINING GUIDE AVAILABLE AT SHREDLIFESTYLE.COM
8-STAGE WEIGHT-LOSS SYSTEM • STRONGEST FORMULA AVAILABLE • PHYSICIAN-FORMULATED • VISIBLE CHANGES IN LESS THAN 2 WEEKS
SHRED LIFESTYLE SERIES
8-STAGE WEIGHT-LOSS SYSTEM SHRED MATRIX’S CAREFUL COMBINATION OF CLINICALLY PROVEN INGREDIENTS IS PHYSICIAN-FORMULATED, RESULTING IN ONE OF THE MOST COMPLETE, MOST EFFECTIVE FAT LOSS SYSTEMS AVAILABLE. SHRED MATRIX’S COMPREHENSIVE FORMULA ATTACKS FAT FROM ALL ANGLES, IN IT’S 8-STAGE WEIGHT LOSS SYSTEM. STAGE 1. INCREASE ENERGY STAGE 2. RAMP UP METABOLISM STAGE 3. CRUSH HUNGER STAGE 4. BLOCK FAT FORMATION STAGE 5. ANTI-STRESS MOOD BALANCING BLEND STAGE 6. RAZOR-SHARP MENTAL FOCUS, WITHOUT CRASH OR JITTER STAGE 7. ELIMINATE EXCESS WATER STAGE 8. DESTROY SUGAR CRAVINGS
Suggested/Recommended/Usage/Directions
SUGGESTED USE: Take one serving (3 capsules) with an 8 oz. glass of water twice daily. MORNING: Take three (3) capsules with 8 ounces of water 30-45 mins before breakfast. AFTERNOON: Take three (3) capsules with 8 ounces of water 30-45 mins before lunch. Drink a minimum of 1 gallon of water per day while on Shred Matrix *Shred Matrix should not be taken within 6 hours before bed.
General
Dom v8.2 20110117
FDA Statement of Identity
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.
DIETARY SUPPLEMENT
Seals/Symbols
MP MUSCLEPHARM(R)
Authentic OFFICIAL MUSCLEPHARM PRODUCT(TM)
Formulation
THIS PRODUCT CONTAINS NO BANNED SUBSTANCES
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Shred Matrix by MusclePharm 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 Shred Matrix by MusclePharm
These are the 12 active ingredients this product is made of. Select any to open its full monograph.
Serving size3 Capsule(s) Dosage formCapsule Servings per container40 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.
Biotin
No knowninteractions
Biotin (vitamin B7) is a water-soluble vitamin your body needs to turn food into energy and to support healthy hair, skin, and nails. Most people get...
Biotin monograph & interactionsPantothenic Acid
No knowninteractions
Pantothenic acid is vitamin B5, an essential nutrient your body uses to turn food into energy. True deficiency is very rare because it is found in nea...
Pantothenic Acid monograph & interactionsNiacin
Interacts with727 drugs
Niacin (vitamin B3) is an essential nutrient your body needs for energy and metabolism, and deficiency is uncommon in most developed countries. Prescr...
Niacin monograph & interactionsOlive leaf extract
No knowninteractions
Olive comes from the same tree that gives us olives and olive oil, and its leaf and fruit contain antioxidant compounds like oleuropein and hydroxytyr...
Olive leaf extract monograph & interactionsChromium
Interacts with178 drugs
Chromium is an essential trace mineral involved in how the body handles sugar and fat. Some studies suggest it may modestly help blood sugar control i...
Chromium monograph & interactions8 Stage Weight Loss Proprietary Blend
- › Stages 1 & 2: Energy & Fat Metabolism
- › Stages 3 & 4: Appetite Balancing & Weight Management Control
- › Stage 5: Anti-Stress Mood Balancing Matrix
- › Stage 6: Brain Power Matrix
- › Stage 7: Diuretic Complex
- › Stage 8: Sugar Stop(TM) & Enzyme Aid Matrix
Magnesium
Interacts with295 drugs
Magnesium is an essential mineral your body needs for muscles, nerves, blood pressure, and many other functions, and supplements are useful for preven...
Magnesium monograph & interactionsOther (inactive) ingredients: Gelatin, Magnesium Stearate, Microcrystalline Cellulose. These complete the product’s ingredient list but are not active constituents.
Shred Matrix by MusclePharm Drug Interactions
HelloPharmacist Interaction Report
Shred Matrix by MusclePharm contains several ingredients with documented interactions.
The most serious concern is caffeine anhydrous, which poses a Major-severity risk with ephedrine — concomitant use can cause serious life-threatening effects including hypertension, heart attack, stroke, seizures, and death. Do not take this product if you use ephedrine or ephedrine-containing supplements.
Read the full breakdown — every affected drug type, severity by severity
Caffeine also interacts at Moderate severity with pentobarbital, dipyridamole, clozapine, cimetidine, quinolone antibiotics, phenobarbital, and carbamazepine. Green tea extract carries Major-severity interactions with nadolol, atorvastatin, and ephedrine, and Moderate interactions with multiple seizure medications.
Niacin interacts at Moderate severity with antihypertensives, hepatotoxic drugs, anticoagulants/antiplatelets, antidiabetes drugs, statins, allopurinol, bile acid sequestrants, and probenecid. Chromium, magnesium, and cayenne each have Moderate interactions with antidiabetes drugs and other medication classes.
Yerba mate, guarana seed extract, eleuthero, fo-ti, and saw palmetto contribute additional Moderate and Major interactions. Fo-ti carries particular concern due to documented cases of acute liver failure that have elevated blood thinner levels dangerously.
Altogether, these interactions span 1,615 individual medications.
We could not check interactions for yohimbine HCl, the proprietary blends (Stages 1-2, 3-4, 5-7, and 8), or their components. Always verify your exact medications below before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Shred Matrix?
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 Shred Matrix interact with 1,667 drugs. Click any drug to see the details.
3 of the 12 ingredients in Shred Matrix interact with drugs. Each result below shows which ingredient is responsible. Niacin Magnesium Chromium
Aminophylline, Amobarbital, EphedrineAmesec
How Aminophylline, Amobarbital, Ephedrine interacts with Shred Matrix — through 5 ingredients. Tap an ingredient for the detail:
Guarana Seed ExtractStimulant Drugs, Ephedrine Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Guarana Seed Extract + Aminophylline, Amobarbital, Ephedrine interactionYerba MateStimulant Drugs, Ephedrine Major
Interaction Summary
Theoretically, concomitant use of stimulant drugs and yerba mate might increase stimulant adverse effects.
Read the full Yerba Mate + Aminophylline, Amobarbital, Ephedrine interactionCaffeine AnhydrousStimulant Drugs, Ephedrine Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Caffeine Anhydrous + Aminophylline, Amobarbital, Ephedrine interactionGreen Tea ExtractEphedrine, Stimulant Drugs Major
Interaction Summary
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Read the full Green Tea Extract + Aminophylline, Amobarbital, Ephedrine interactionYohimbine HclStimulant Drugs Moderate
Interaction Summary
Theoretically, taking yohimbe with stimulant drugs can have additive effects.
Read the full Yohimbine Hcl + Aminophylline, Amobarbital, Ephedrine interactionAmphetamineAdensys XR-ODT, Adzenys ER, Dyanavel XR, Mydayis
How Amphetamine interacts with Shred Matrix — through 7 ingredients. Tap an ingredient for the detail:
Yohimbine HclStimulant Drugs, Monoamine Oxidase Inhibitors (maois) +1 Major
Interaction Summary
Theoretically, taking yohimbe with stimulant drugs can have additive effects.
Read the full Yohimbine Hcl + Amphetamine interactionGreen Tea ExtractStimulant Drugs, Monoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Green Tea Extract + Amphetamine interactionCaffeine AnhydrousStimulant Drugs, Monoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Caffeine Anhydrous + Amphetamine interactionFo-tiCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, fo-ti may increase the levels and clinical effects of drugs metabolized by CYP2D6.
Read the full Fo-ti + Amphetamine interactionYerba MateMonoamine Oxidase Inhibitors (maois), Stimulant Drugs Moderate
Interaction Summary
Theoretically, the caffeine in yerba mate might increase risk of a hypertensive crisis when used concomitantly with MAOIs.
Read the full Yerba Mate + Amphetamine interactionGuarana Seed ExtractStimulant Drugs, Monoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Guarana Seed Extract + Amphetamine interactionEleutheroCytochrome P450 2d6 (cyp2d6) Substrates Minor
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP2D6.
Read the full Eleuthero + Amphetamine interactionAtorvastatinAtorvaliq
How Atorvastatin interacts with Shred Matrix — through 6 ingredients. Tap an ingredient for the detail:
Green Tea ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Major
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Green Tea Extract + Atorvastatin interactionFo-tiHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Fo-ti + Atorvastatin interactionNiacinHmg-coa Reductase Inhibitors ("statins"), Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of niacin and statins might increase the risk of myopathy and rhabdomyolysis in some patients.
Read the full Niacin + Atorvastatin interactionYohimbine HclCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Yohimbine Hcl + Atorvastatin interactionEleutheroCytochrome P450 3a4 (cyp3a4) Substrates, Organic Anion-transporting Polypeptide Substrates (oatp) Minor
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP3A4.
Read the full Eleuthero + Atorvastatin interactionYerba MateCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, yerba mate might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Yerba Mate + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with Shred Matrix — through 6 ingredients. Tap an ingredient for the detail:
Green Tea ExtractHepatotoxic Drugs, Atorvastatin (lipitor) +2 Major
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Green Tea Extract + Atorvastatin Calcium interactionFo-tiCytochrome P450 3a4 (cyp3a4) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Fo-ti + Atorvastatin Calcium interactionNiacinHepatotoxic Drugs, Hmg-coa Reductase Inhibitors ("statins") Moderate
Interaction Summary
Theoretically, concomitant use of niacin and hepatotoxic drugs might increase the risk of hepatotoxicity.
Read the full Niacin + Atorvastatin Calcium interactionYerba MateCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, yerba mate might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Yerba Mate + Atorvastatin Calcium interactionYohimbine HclCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Yohimbine Hcl + Atorvastatin Calcium interactionEleutheroOrganic Anion-transporting Polypeptide Substrates (oatp), Cytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, eleuthero might decrease levels of drugs metabolized by OATP.
Read the full Eleuthero + Atorvastatin Calcium interactionBendroflumethiazide, NadololCorzide
How Bendroflumethiazide, Nadolol interacts with Shred Matrix — through 7 ingredients. Tap an ingredient for the detail:
Green Tea ExtractDiuretic Drugs, Nadolol (corgard) Major
Interaction Summary
Theoretically, using green tea with diuretic drugs might increase the risk of hypokalemia.
Read the full Green Tea Extract + Bendroflumethiazide, Nadolol interactionNiacinAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, niacin may increase the risk of hypotension when used with antihypertensive drugs.
Read the full Niacin + Bendroflumethiazide, Nadolol interactionYerba MateDiuretic Drugs Moderate
Interaction Summary
Theoretically, the caffeine in yerba mate might increase the risk of hypokalemia when used concomitantly with other diuretics.
Read the full Yerba Mate + Bendroflumethiazide, Nadolol interactionGuarana Seed ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, using guarana with diuretic drugs might increase the risk of hypokalemia.
Read the full Guarana Seed Extract + Bendroflumethiazide, Nadolol interactionCaffeine AnhydrousDiuretic Drugs Moderate
Interaction Summary
Theoretically, using caffeine with diuretic drugs might increase the risk of hypokalemia.
Read the full Caffeine Anhydrous + Bendroflumethiazide, Nadolol interactionYohimbine HclAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, yohimbe might reduce the effects of antihypertensive drugs.
Read the full Yohimbine Hcl + Bendroflumethiazide, Nadolol interactionFo-tiDiuretic Drugs Moderate
Interaction Summary
Theoretically, fo-ti, particularly raw fo-ti root, might increase the risk of hypokalemia when taken with diuretic drugs.
Read the full Fo-ti + Bendroflumethiazide, Nadolol interactionBenserazide, LevodopaMadopar, Prolopa
How Benserazide, Levodopa interacts with Shred Matrix — through 1 ingredient. Tap an ingredient for the detail:
MagnesiumLevodopa/carbidopa (sinemet) Major
Interaction Summary
Magnesium can reduce the bioavailability of levodopa/carbidopa.
Read the full Magnesium + Benserazide, Levodopa interactionCarbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine TannateQuadratuss, Ry Tuss, Rynatuss, Tri Tannate Plus
How Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interacts with Shred Matrix — through 7 ingredients. Tap an ingredient for the detail:
Green Tea ExtractEphedrine, Stimulant Drugs +1 Major
Interaction Summary
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Read the full Green Tea Extract + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionYerba MateStimulant Drugs, Ephedrine +1 Major
Interaction Summary
Theoretically, concomitant use of stimulant drugs and yerba mate might increase stimulant adverse effects.
Read the full Yerba Mate + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionGuarana Seed ExtractEphedrine, Stimulant Drugs Major
Interaction Summary
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Read the full Guarana Seed Extract + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionCaffeine AnhydrousEphedrine, Stimulant Drugs Major
Interaction Summary
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Read the full Caffeine Anhydrous + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionFo-tiCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Fo-ti + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionYohimbine HclCytochrome P450 2d6 (cyp2d6) Inhibitors, Stimulant Drugs +1 Moderate
Interaction Summary
CYP2D6 inhibitors may increase the levels and adverse effects of yohimbine, a constituent of yohimbe.
Read the full Yohimbine Hcl + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionEleutheroCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP3A4.
Read the full Eleuthero + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionCarbidopaLodosyn
How Carbidopa interacts with Shred Matrix — through 1 ingredient. Tap an ingredient for the detail:
MagnesiumLevodopa/carbidopa (sinemet) Major
Interaction Summary
Magnesium can reduce the bioavailability of levodopa/carbidopa.
Read the full Magnesium + Carbidopa interactionCarbidopa, LevodopaDhivy, Rytary, Sinemet, Sinemet CR
How Carbidopa, Levodopa interacts with Shred Matrix — through 1 ingredient. Tap an ingredient for the detail:
MagnesiumLevodopa/carbidopa (sinemet) Major
Interaction Summary
Magnesium can reduce the bioavailability of levodopa/carbidopa.
Read the full Magnesium + Carbidopa, Levodopa interactionCarbidopa, Levodopa, EntacaponeStalevo
How Carbidopa, Levodopa, Entacapone interacts with Shred Matrix — through 1 ingredient. Tap an ingredient for the detail:
MagnesiumLevodopa/carbidopa (sinemet) Major
Interaction Summary
Magnesium can reduce the bioavailability of levodopa/carbidopa.
Read the full Magnesium + Carbidopa, Levodopa, Entacapone interactionDyphylline, Ephedrine, Guaifenesin, PhenobarbitalLufyllin-EPG
How Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interacts with Shred Matrix — through 5 ingredients. Tap an ingredient for the detail:
Green Tea ExtractStimulant Drugs, Phenobarbital (luminal) +1 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Green Tea Extract + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionYerba MateStimulant Drugs, Phenobarbital (luminal) +1 Major
Interaction Summary
Theoretically, concomitant use of stimulant drugs and yerba mate might increase stimulant adverse effects.
Read the full Yerba Mate + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionCaffeine AnhydrousStimulant Drugs, Phenobarbital (luminal) +1 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Caffeine Anhydrous + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionGuarana Seed ExtractStimulant Drugs, Phenobarbital (luminal) +1 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Guarana Seed Extract + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionYohimbine HclStimulant Drugs Moderate
Interaction Summary
Theoretically, taking yohimbe with stimulant drugs can have additive effects.
Read the full Yohimbine Hcl + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionEphedrine, Guaifenesin (otc Drug)Ephedrine Formula 400, Ephedrine Plus Tabs
How Ephedrine, Guaifenesin (otc Drug) interacts with Shred Matrix — through 5 ingredients. Tap an ingredient for the detail:
Yerba MateStimulant Drugs, Ephedrine Major
Interaction Summary
Theoretically, concomitant use of stimulant drugs and yerba mate might increase stimulant adverse effects.
Read the full Yerba Mate + Ephedrine, Guaifenesin (otc Drug) interactionCaffeine AnhydrousStimulant Drugs, Ephedrine Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Caffeine Anhydrous + Ephedrine, Guaifenesin (otc Drug) interactionGreen Tea ExtractStimulant Drugs, Ephedrine Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Green Tea Extract + Ephedrine, Guaifenesin (otc Drug) interactionGuarana Seed ExtractStimulant Drugs, Ephedrine Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Guarana Seed Extract + Ephedrine, Guaifenesin (otc Drug) interactionYohimbine HclStimulant Drugs Moderate
Interaction Summary
Theoretically, taking yohimbe with stimulant drugs can have additive effects.
Read the full Yohimbine Hcl + Ephedrine, Guaifenesin (otc Drug) interactionEphedrine, Guaifenesin, Phenobarbital, TheophyllineMudrane GG
How Ephedrine, Guaifenesin, Phenobarbital, Theophylline interacts with Shred Matrix — through 8 ingredients. Tap an ingredient for the detail:
Guarana Seed ExtractTheophylline, Phenobarbital (luminal) +2 Major
Interaction Summary
Theoretically, guarana might increase the levels and adverse effects of theophylline.
Read the full Guarana Seed Extract + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionCaffeine AnhydrousTheophylline, Phenobarbital (luminal) +2 Major
Interaction Summary
Theoretically, caffeine might increase the levels and adverse effects of theophylline.
Read the full Caffeine Anhydrous + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionYerba MatePhenobarbital (luminal), Ephedrine +2 Major
Interaction Summary
Theoretically, the caffeine in yerba mate might reduce the effects of phenobarbital and increase the risk for convulsions.
Read the full Yerba Mate + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionGreen Tea ExtractPhenobarbital (luminal), Ephedrine +2 Major
Interaction Summary
Theoretically, green tea might reduce the effects of phenobarbital and increase the risk for convulsions.
Read the full Green Tea Extract + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionCayenneTheophylline Moderate
Interaction Summary
Theoretically, taking capsicum with theophylline might increase the levels and adverse effects of theophylline.
Read the full Cayenne + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionEleutheroCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP1A2.
Read the full Eleuthero + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionFo-tiCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, fo-ti might increase or decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Fo-ti + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionYohimbine HclStimulant Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, taking yohimbe with stimulant drugs can have additive effects.
Read the full Yohimbine Hcl + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionEphedrine, Hydroxyzine, TheophyllineAmi Rax, Marax
How Ephedrine, Hydroxyzine, Theophylline interacts with Shred Matrix — through 8 ingredients. Tap an ingredient for the detail:
Guarana Seed ExtractStimulant Drugs, Theophylline +1 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Guarana Seed Extract + Ephedrine, Hydroxyzine, Theophylline interactionCaffeine AnhydrousStimulant Drugs, Theophylline +1 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Caffeine Anhydrous + Ephedrine, Hydroxyzine, Theophylline interactionGreen Tea ExtractStimulant Drugs, Theophylline +1 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Green Tea Extract + Ephedrine, Hydroxyzine, Theophylline interactionYerba MateStimulant Drugs, Theophylline +1 Major
Interaction Summary
Theoretically, concomitant use of stimulant drugs and yerba mate might increase stimulant adverse effects.
Read the full Yerba Mate + Ephedrine, Hydroxyzine, Theophylline interactionYohimbine HclCytochrome P450 1a2 (cyp1a2) Substrates, Stimulant Drugs Moderate
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbine Hcl + Ephedrine, Hydroxyzine, Theophylline interactionFo-tiCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, fo-ti might increase or decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Fo-ti + Ephedrine, Hydroxyzine, Theophylline interactionCayenneTheophylline Moderate
Interaction Summary
Theoretically, taking capsicum with theophylline might increase the levels and adverse effects of theophylline.
Read the full Cayenne + Ephedrine, Hydroxyzine, Theophylline interactionEleutheroCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP1A2.
Read the full Eleuthero + Ephedrine, Hydroxyzine, Theophylline interactionEphedrine, Phenobarbital, Potassium Iodide, TheophyllineMudrane, Quadrinal
How Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interacts with Shred Matrix — through 6 ingredients. Tap an ingredient for the detail:
Yerba MatePhenobarbital (luminal), Ephedrine +2 Major
Interaction Summary
Theoretically, the caffeine in yerba mate might reduce the effects of phenobarbital and increase the risk for convulsions.
Read the full Yerba Mate + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionGuarana Seed ExtractTheophylline, Phenobarbital (luminal) +2 Major
Interaction Summary
Theoretically, guarana might increase the levels and adverse effects of theophylline.
Read the full Guarana Seed Extract + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionGreen Tea ExtractPhenobarbital (luminal), Ephedrine +2 Major
Interaction Summary
Theoretically, green tea might reduce the effects of phenobarbital and increase the risk for convulsions.
Read the full Green Tea Extract + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionCaffeine AnhydrousTheophylline, Phenobarbital (luminal) +2 Major
Interaction Summary
Theoretically, caffeine might increase the levels and adverse effects of theophylline.
Read the full Caffeine Anhydrous + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionCayenneTheophylline Moderate
Interaction Summary
Theoretically, taking capsicum with theophylline might increase the levels and adverse effects of theophylline.
Read the full Cayenne + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionYohimbine HclStimulant Drugs Moderate
Interaction Summary
Theoretically, taking yohimbe with stimulant drugs can have additive effects.
Read the full Yohimbine Hcl + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionEphedrine, Phenobarbital, TheophyllineTedral
How Ephedrine, Phenobarbital, Theophylline interacts with Shred Matrix — through 6 ingredients. Tap an ingredient for the detail:
Caffeine AnhydrousStimulant Drugs, Theophylline +2 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Caffeine Anhydrous + Ephedrine, Phenobarbital, Theophylline interactionGuarana Seed ExtractStimulant Drugs, Theophylline +2 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Guarana Seed Extract + Ephedrine, Phenobarbital, Theophylline interactionYerba MateStimulant Drugs, Theophylline +2 Major
Interaction Summary
Theoretically, concomitant use of stimulant drugs and yerba mate might increase stimulant adverse effects.
Read the full Yerba Mate + Ephedrine, Phenobarbital, Theophylline interactionGreen Tea ExtractStimulant Drugs, Theophylline +2 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Green Tea Extract + Ephedrine, Phenobarbital, Theophylline interactionCayenneTheophylline Moderate
Interaction Summary
Theoretically, taking capsicum with theophylline might increase the levels and adverse effects of theophylline.
Read the full Cayenne + Ephedrine, Phenobarbital, Theophylline interactionYohimbine HclStimulant Drugs Moderate
Interaction Summary
Theoretically, taking yohimbe with stimulant drugs can have additive effects.
Read the full Yohimbine Hcl + Ephedrine, Phenobarbital, Theophylline interactionEzetimibe, AtorvastatinLiptruzet
How Ezetimibe, Atorvastatin interacts with Shred Matrix — through 6 ingredients. Tap an ingredient for the detail:
Green Tea ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Cytochrome P450 3a4 (cyp3a4) Substrates +2 Major
Interaction Summary
Theoretically, green tea might reduce the absorption of organic anion-transporting polypeptide (OATP) substrates.
Read the full Green Tea Extract + Ezetimibe, Atorvastatin interactionFo-tiCytochrome P450 3a4 (cyp3a4) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Fo-ti + Ezetimibe, Atorvastatin interactionNiacinHmg-coa Reductase Inhibitors ("statins"), Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of niacin and statins might increase the risk of myopathy and rhabdomyolysis in some patients.
Read the full Niacin + Ezetimibe, Atorvastatin interactionYerba MateCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, yerba mate might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Yerba Mate + Ezetimibe, Atorvastatin interactionEleutheroOrganic Anion-transporting Polypeptide Substrates (oatp), Cytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, eleuthero might decrease levels of drugs metabolized by OATP.
Read the full Eleuthero + Ezetimibe, Atorvastatin interactionYohimbine HclCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Yohimbine Hcl + Ezetimibe, Atorvastatin interactionIsocarboxazidMarplan
How Isocarboxazid interacts with Shred Matrix — through 5 ingredients. Tap an ingredient for the detail:
Yohimbine HclMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Concomitant use of MAOIs with yohimbe can result in additive effects.
Read the full Yohimbine Hcl + Isocarboxazid interactionYerba MateMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, the caffeine in yerba mate might increase risk of a hypertensive crisis when used concomitantly with MAOIs.
Read the full Yerba Mate + Isocarboxazid interactionCaffeine AnhydrousMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine Anhydrous + Isocarboxazid interactionGreen Tea ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Green Tea Extract + Isocarboxazid interactionGuarana Seed ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Guarana Seed Extract + Isocarboxazid interactionLevodopaInbrija, Larodopa
How Levodopa interacts with Shred Matrix — through 1 ingredient. Tap an ingredient for the detail:
MagnesiumLevodopa/carbidopa (sinemet) Major
Interaction Summary
Magnesium can reduce the bioavailability of levodopa/carbidopa.
Read the full Magnesium + Levodopa interactionLevodopa, CarbidopaDuodopa
How Levodopa, Carbidopa interacts with Shred Matrix — through 1 ingredient. Tap an ingredient for the detail:
MagnesiumLevodopa/carbidopa (sinemet) Major
Interaction Summary
Magnesium can reduce the bioavailability of levodopa/carbidopa.
Read the full Magnesium + Levodopa, Carbidopa interactionMoclobemideManerix, Moclobemide
How Moclobemide interacts with Shred Matrix — through 6 ingredients. Tap an ingredient for the detail:
Yohimbine HclMonoamine Oxidase Inhibitors (maois), Cytochrome P450 2d6 (cyp2d6) Inhibitors Major
Interaction Summary
Concomitant use of MAOIs with yohimbe can result in additive effects.
Read the full Yohimbine Hcl + Moclobemide interactionCaffeine AnhydrousMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine Anhydrous + Moclobemide interactionGuarana Seed ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Guarana Seed Extract + Moclobemide interactionYerba MateMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, the caffeine in yerba mate might increase risk of a hypertensive crisis when used concomitantly with MAOIs.
Read the full Yerba Mate + Moclobemide interactionGreen Tea ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Green Tea Extract + Moclobemide interactionFo-tiCytochrome P450 2c19 (cyp2c19) Substrates Moderate
Interaction Summary
Theoretically, fo-ti may increase the levels and clinical effects of drugs metabolized by CYP2C19.
Read the full Fo-ti + Moclobemide interactionNadololCorgard, Nadolol
How Nadolol interacts with Shred Matrix — through 3 ingredients. Tap an ingredient for the detail:
Green Tea ExtractNadolol (corgard) Major
Interaction Summary
Green tea seems to reduce the levels and clinical effects of nadolol.
Read the full Green Tea Extract + Nadolol interactionNiacinAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, niacin may increase the risk of hypotension when used with antihypertensive drugs.
Read the full Niacin + Nadolol interactionYohimbine HclAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, yohimbe might reduce the effects of antihypertensive drugs.
Read the full Yohimbine Hcl + Nadolol interactionOzanimod HydrochlorideZeposia
How Ozanimod Hydrochloride interacts with Shred Matrix — through 8 ingredients. Tap an ingredient for the detail:
Yohimbine HclMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Concomitant use of MAOIs with yohimbe can result in additive effects.
Read the full Yohimbine Hcl + Ozanimod Hydrochloride interactionEleutheroImmunosuppressants Moderate
Interaction Summary
Theoretically, eleuthero might interfere with immunosuppressive drugs because of its immunostimulant activity.
Read the full Eleuthero + Ozanimod Hydrochloride interactionFo-tiHepatotoxic Drugs, Cytochrome P450 2c8 (cyp2c8) Substrates Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Fo-ti + Ozanimod Hydrochloride interactionCaffeine AnhydrousMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine Anhydrous + Ozanimod Hydrochloride interactionNiacinHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of niacin and hepatotoxic drugs might increase the risk of hepatotoxicity.
Read the full Niacin + Ozanimod Hydrochloride interactionYerba MateMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, the caffeine in yerba mate might increase risk of a hypertensive crisis when used concomitantly with MAOIs.
Read the full Yerba Mate + Ozanimod Hydrochloride interactionGreen Tea ExtractHepatotoxic Drugs, Monoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Green Tea Extract + Ozanimod Hydrochloride interactionGuarana Seed ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Guarana Seed Extract + Ozanimod Hydrochloride interactionPhenelzine SulfateNardil
How Phenelzine Sulfate interacts with Shred Matrix — through 5 ingredients. Tap an ingredient for the detail:
Yohimbine HclMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Concomitant use of MAOIs with yohimbe can result in additive effects.
Read the full Yohimbine Hcl + Phenelzine Sulfate interactionYerba MateMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, the caffeine in yerba mate might increase risk of a hypertensive crisis when used concomitantly with MAOIs.
Read the full Yerba Mate + Phenelzine Sulfate interactionCaffeine AnhydrousMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine Anhydrous + Phenelzine Sulfate interactionGuarana Seed ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Guarana Seed Extract + Phenelzine Sulfate interactionGreen Tea ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Green Tea Extract + Phenelzine Sulfate interactionRasagilineAzilect
How Rasagiline interacts with Shred Matrix — through 7 ingredients. Tap an ingredient for the detail:
Yohimbine HclMonoamine Oxidase Inhibitors (maois), Cytochrome P450 1a2 (cyp1a2) Substrates Major
Interaction Summary
Concomitant use of MAOIs with yohimbe can result in additive effects.
Read the full Yohimbine Hcl + Rasagiline interactionYerba MateMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, the caffeine in yerba mate might increase risk of a hypertensive crisis when used concomitantly with MAOIs.
Read the full Yerba Mate + Rasagiline interactionGreen Tea ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Green Tea Extract + Rasagiline interactionFo-tiCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, fo-ti might increase or decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Fo-ti + Rasagiline interactionEleutheroCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP1A2.
Read the full Eleuthero + Rasagiline interactionCaffeine AnhydrousMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine Anhydrous + Rasagiline interactionGuarana Seed ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Guarana Seed Extract + Rasagiline interactionSafinamide MesylateXadago
How Safinamide Mesylate interacts with Shred Matrix — through 5 ingredients. Tap an ingredient for the detail:
Yohimbine HclMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Concomitant use of MAOIs with yohimbe can result in additive effects.
Read the full Yohimbine Hcl + Safinamide Mesylate interactionYerba MateMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, the caffeine in yerba mate might increase risk of a hypertensive crisis when used concomitantly with MAOIs.
Read the full Yerba Mate + Safinamide Mesylate interactionGuarana Seed ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Guarana Seed Extract + Safinamide Mesylate interactionGreen Tea ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Green Tea Extract + Safinamide Mesylate interactionCaffeine AnhydrousMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine Anhydrous + Safinamide Mesylate interactionSelegilineCarbex, Eldepryl, Emsam, Zelapar
How Selegiline interacts with Shred Matrix — through 5 ingredients. Tap an ingredient for the detail:
Yohimbine HclMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Concomitant use of MAOIs with yohimbe can result in additive effects.
Read the full Yohimbine Hcl + Selegiline interactionCaffeine AnhydrousMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine Anhydrous + Selegiline interactionGuarana Seed ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Guarana Seed Extract + Selegiline interactionGreen Tea ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Green Tea Extract + Selegiline interactionYerba MateMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, the caffeine in yerba mate might increase risk of a hypertensive crisis when used concomitantly with MAOIs.
Read the full Yerba Mate + Selegiline interactionTranylcypromineParnate
How Tranylcypromine interacts with Shred Matrix — through 5 ingredients. Tap an ingredient for the detail:
Yohimbine HclMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Concomitant use of MAOIs with yohimbe can result in additive effects.
Read the full Yohimbine Hcl + Tranylcypromine interactionCaffeine AnhydrousMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine Anhydrous + Tranylcypromine interactionYerba MateMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, the caffeine in yerba mate might increase risk of a hypertensive crisis when used concomitantly with MAOIs.
Read the full Yerba Mate + Tranylcypromine interactionGreen Tea ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Green Tea Extract + Tranylcypromine interactionGuarana Seed ExtractMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Guarana Seed Extract + Tranylcypromine interaction6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Shred Matrix — through 4 ingredients. Tap an ingredient for the detail:
EleutheroImmunosuppressants Moderate
Interaction Summary
Theoretically, eleuthero might interfere with immunosuppressive drugs because of its immunostimulant activity.
Read the full Eleuthero + 6-mercaptopurine interactionGreen Tea ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Green Tea Extract + 6-mercaptopurine interactionNiacinHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of niacin and hepatotoxic drugs might increase the risk of hepatotoxicity.
Read the full Niacin + 6-mercaptopurine interactionFo-tiHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Fo-ti + 6-mercaptopurine interactionAdo-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Shred Matrix — through 5 ingredients. Tap an ingredient for the detail:
Fo-tiCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Fo-ti + Ado-trastuzumab Emtansine interactionGreen Tea ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Green tea is unlikely to produce clinically significant changes in the levels and clinical effects of CYP3A4 substrates.
Read the full Green Tea Extract + Ado-trastuzumab Emtansine interactionEleutheroCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP3A4.
Read the full Eleuthero + Ado-trastuzumab Emtansine interactionYohimbine HclCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Yohimbine Hcl + Ado-trastuzumab Emtansine interactionYerba MateCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, yerba mate might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Yerba Mate + Ado-trastuzumab Emtansine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Shred Matrix with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Niacin
Alcohol (Ethanol)
Concomitant use of alcohol and niacin might increase the risk of flushing and hepatotoxicity.
Alcohol can exacerbate the flushing and pruritus associated with niacin. Large doses of niacin might also exacerbate liver dysfunction associated with chronic alcohol use. A case report describes delirium and lactic acidosis in a patient taking niacin 3 grams daily who ingested 1 liter of wine. Advise patients to avoid large amounts of alcohol while taking niacin.
Allopurinol (Zyloprim)
Theoretically, niacin might antagonize the therapeutic effects of uricosurics such as allopurinol.
Large doses of niacin can reduce urinary excretion of uric acid, potentially resulting in hyperuricemia. Doses of uricosurics such as allopurinol might need to be increased to maintain control of gout in patients who start taking niacin. People who have frequent attacks of gout despite uricosuric therapy should avoid niacin.
Anticoagulant/Antiplatelet Drugs
Theoretically, niacin may have additive effects when used with anticoagulant or antiplatelet drugs.
Several cases of clotting factor synthesis deficiency and coagulopathy have been reported in patients taking sustained-release niacin. Also, thrombocytopenia has been reported in patients treated with niacin or niacin plus lovastatin.
Antidiabetes Drugs
Niacin can increase blood glucose levels and may diminish the effects of antidiabetes drugs.
Niacin impairs glucose tolerance in a dose-dependent manner, probably by causing or aggravating insulin resistance and increasing hepatic production of glucose. In diabetes patients, niacin 4.5 grams daily for 5 weeks can increase plasma glucose by an average of 16% and glycated hemoglobin (HbA1c) by 21%. However, lower doses of 1.5 grams daily or less appear to have minimal effects on blood glucose. In some patients, glucose levels increase when niacin is started, but then return to baseline when a stable dose is reached. Up to 35% of patients with diabetes may need adjustments in hypoglycemic therapy when niacin is added.
Antihypertensive Drugs
Theoretically, niacin may increase the risk of hypotension when used with antihypertensive drugs.
The vasodilating effects of niacin can cause hypotension. Furthermore, some clinical evidence suggests that a one-hour infusion of niacin can reduce systolic, diastolic, and mean blood pressure in hypertensive patients. This effect is not observed in normotensive patients.
Bile Acid Sequestrants
Bile acid sequestrants can bind niacin and decrease absorption. Separate administration by 4-6 hours to avoid an interaction.
In vitro studies show that colestipol (Colestid) binds about 98% of available niacin and cholestyramine (Questran) binds 10% to 30%.
Gemfibrozil (Lopid)
Theoretically, concomitant use of niacin and gemfibrozil might increase the risk of myopathy in some patients.
A case of myopathy from concomitant use of niacin and gemfibrozil has been reported. Niacin alone has also been associated with cases of myopathy. Using gemfibrozil with niacin might further increase the risk of developing myopathy.
Hepatotoxic Drugs
Theoretically, concomitant use of niacin and hepatotoxic drugs might increase the risk of hepatotoxicity.
Niacin has been associated with cases of liver toxicity, especially when used in pharmacologic doses. Sustained-release niacin preparations appear to be associated with a higher risk of hepatotoxicity than immediate-release niacin.
Hmg-Coa Reductase Inhibitors ("Statins")
Theoretically, concomitant use of niacin and statins might increase the risk of myopathy and rhabdomyolysis in some patients.
Some case reports have raised concerns that niacin might increase the risk of myopathy and rhabdomyolysis when combined with statins. However, a significantly increased risk of myopathy has not been demonstrated in clinical trials, including those using an FDA-approved combination of lovastatin and niacin (Advicor).
Probenecid (Benemid)
Theoretically, niacin might antagonize the therapeutic effects of uricosurics such as probenecid.
Large doses of niacin reduce urinary excretion of uric acid, potentially causing hyperuricemia. Doses of uricosurics such as probenecid might need to be increased to maintain control of gout in patients who start taking niacin. People who have frequent attacks of gout despite uricosuric therapy should avoid niacin.
Sulfinpyrazone (Anturane)
Theoretically, niacin might antagonize the therapeutic effects of uricosurics such as sulfinpyrazone.
Large doses of niacin reduce urinary excretion of uric acid, potentially causing hyperuricemia. Doses of uricosurics such as sulfinpyrazone might need to be increased to maintain control of gout in patients who start taking niacin. People who have frequent attacks of gout despite uricosuric therapy should avoid niacin.
Thyroid Hormone
Theoretically, niacin might antagonize the therapeutic effects of thyroid hormones.
Clinical research and case reports suggests that taking niacin can reduce serum levels of thyroxine-binding globulin by up to 25% and moderately reduce levels of thyroxine (T4). Patients taking thyroid hormone for hypothyroidism might need dose adjustments when using niacin.
Transdermal Nicotine (Nicoderm)
Theoretically, concomitant use of niacin and transdermal nicotine might increase the risk of flushing and dizziness.
Niacin and nicotine can both cause flushing and dizziness.
Warfarin (Coumadin)
There is limited evidence that niacin may increase the anticoagulant effects of warfarin.
In a case report, a patient on warfarin developed an elevated international normalized ratio (INR) of 3.9 after taking niacin for two weeks. The patient's INR was previously stable, ranging between 2 and 3 in recent months, and no other medication changes were identified. The elevated INR returned to therapeutic range within 4 days following the discontinuation of niacin.
Aspirin
Large doses of aspirin might alter the clearance of niacin.
Aspirin is often used with niacin to reduce niacin-induced flushing. Doses of 80-975 mg aspirin have been used, but 325 mg appears to be optimal. Aspirin also seems to reduce the clearance of niacin by competing for glycine conjugation. Taking aspirin 1 gram seems to reduce niacin clearance by 45%. This is probably a dose-related effect and not clinically significant with the more common aspirin dose of 325 mg.
Magnesium
Levodopa/Carbidopa (Sinemet)
Magnesium can reduce the bioavailability of levodopa/carbidopa.
Clinical research in healthy volunteers shows that taking magnesium oxide 1000 mg with levodopa 100 mg/carbidopa 10 mg reduces the area under the curve (AUC) of levodopa by 35% and of carbidopa by 81%. In vitro and animal research shows that magnesium produces an alkaline environment in the digestive tract, which might lead to degradation and reduced bioavailability of levodopa/carbidopa.
Aminoglycoside Antibiotics
Concomitant use of aminoglycoside antibiotics and magnesium can increase the risk for neuromuscular weakness.
Both aminoglycosides and magnesium reduce presynaptic acetylcholine release, which can lead to neuromuscular blockade and possible paralysis. This is most likely to occur with high doses of magnesium given intravenously.
Antacids
Use of acid reducers may reduce the laxative effect of magnesium oxide.
A retrospective analysis shows that, in the presence of H2 receptor antagonists (H2RAs) or proton pump inhibitors (PPIs), a higher dose of magnesium oxide is needed for a laxative effect. This may also occur with antacids. Under acidic conditions, magnesium oxide is converted to magnesium chloride and then to magnesium bicarbonate, which has an osmotic laxative effect. By reducing acidity, antacids may reduce the conversion of magnesium oxide to the active bicarbonate salt.
Bictegravir/Emtricitabine/Tenofovir Alafenamide (Biktarvy)
Magnesium might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Advise patients that bictegravir/emtricitabine/tenofovir alafenamide should be taken at least 2 hours before or 6 hours after magnesium containing products.
Bisphosphonates
Magnesium can decrease absorption of bisphosphonates.
Cations, including magnesium, can decrease bisphosphonate absorption. Advise patients to separate doses of magnesium and these drugs by at least 2 hours.
Calcium Channel Blockers
Magnesium can have additive effects with calcium channel blockers, although evidence is conflicting.
Magnesium inhibits calcium entry into smooth muscle cells and may therefore have additive effects with calcium channel blockers. Severe hypotension and neuromuscular blockades may occur when nifedipine is used with intravenous magnesium, although some contradictory evidence suggests that concurrent use of magnesium with nifedipine does not increase the risk of neuromuscular weakness. High doses of magnesium could theoretically have additive effects with other calcium channel blockers.
Digoxin
Magnesium salts may reduce absorption of digoxin.
Clinical evidence suggests that treatment with oral magnesium hydroxide or magnesium trisilicate reduces absorption of digoxin from the intestines. This may reduce the blood levels of digoxin and decrease its therapeutic effects.
Potassium-Sparing Diuretics
Potassium-sparing diuretics decrease excretion of magnesium, possibly increasing magnesium levels.
Potassium-sparing diuretics also have magnesium-sparing properties, which can counteract the magnesium losses associated with loop and thiazide diuretics. Theoretically, increased magnesium levels could result from concomitant use of potassium-sparing diuretics and magnesium supplements.
Quinolone Antibiotics
Magnesium decreases absorption of quinolones.
Magnesium can form insoluble complexes with quinolones and decrease their absorption. Advise patients to take these drugs at least 2 hours before, or 4 to 6 hours after, magnesium supplements.
Skeletal Muscle Relaxants
Parenteral magnesium alters the pharmacokinetics of skeletal muscle relaxants, increasing their effects and accelerating the onset of effect.
Parenteral magnesium shortens the time to onset of skeletal muscle relaxants by about 1 minute and prolongs the duration of action by about 2 minutes. Magnesium potentiates the effects of skeletal muscle relaxants by decreasing calcium-mediated release of acetylcholine from presynaptic nerve terminals, reducing postsynaptic sensitivity to acetylcholine, and having a direct effect on the membrane potential of myocytes. Magnesium also has vasodilatory actions and increases cardiac output, allowing a greater amount of muscle relaxant to reach the motor end plate. A clinical study found that low-dose rocuronium (0.45 mg/kg), when given after administration of magnesium 30 mg/kg over 10 minutes, has an accelerated onset of effect, which matches the onset of effect seen with a full-dose rocuronium regimen (0.6 mg/kg). In another clinical study, onset times for rocuronium doses of 0.3, 0.6, and 1.2 mg/kg were 86, 76, and 50 seconds, respectively, when given alone, but were reduced to 66, 44, and 38 seconds, respectively, when the doses were given after a 15-minute infusion of magnesium sulfate 60 mg/kg. Giving intraoperative intravenous magnesium sulfate, 50 mg/kg loading dose followed by 15 mg/kg/hour, reduces the onset time of rocuronium, enhances its clinical effects, reduces the dose of intraoperative opiates, and prolongs the spontaneous recovery time. It does not affect the activity of subsequently administered neostigmine.
Sulfonylureas
Magnesium increases the systemic absorption of sulfonylureas, increasing their effects and side effects.
Clinical research shows that administration of magnesium hydroxide with glyburide increases glyburide absorption, increases maximal insulin response by 35-fold, and increases the risk of hypoglycemia, when compared with glyburide alone. A similar interaction occurs between magnesium hydroxide and glipizide. The mechanism of this effect appears to be related to the elevation of gastrointestinal pH by magnesium-based antacids, increasing solubility and enhancing absorption of sulfonylureas.
Tetracycline Antibiotics
Magnesium decreases absorption of tetracyclines.
Magnesium can form insoluble complexes with tetracyclines in the gut and decrease their absorption and antibacterial activity. Advise patients to take these drugs 1 hour before or 2 hours after magnesium supplements.
Anticoagulant/Antiplatelet Drugs
Theoretically, magnesium may have antiplatelet effects, but the evidence is conflicting.
In vitro evidence shows that magnesium sulfate inhibits platelet aggregation, even at low concentrations. Some preliminary clinical evidence shows that infusion of magnesium sulfate increases bleeding time by 48% and reduces platelet activity. However, other clinical research shows that magnesium does not affect platelet aggregation, although inhibition of platelet-dependent thrombosis can occur.
Gabapentin (Neurontin)
Gabapentin absorption can be decreased by magnesium.
Clinical research shows that giving magnesium oxide orally along with gabapentin decreases the maximum plasma concentration of gabapentin by 33%, time to maximum concentration by 36%, and area under the curve by 43%. Advise patients to take gabapentin at least 2 hours before, or 4 to 6 hours after, magnesium supplements.
Sevelamer (Renagel, Renvela)
Sevelamer may increase serum magnesium levels.
In patients on hemodialysis, sevelamer use was associated with a 0.28 mg/dL increase in serum magnesium. The mechanism of this interaction remains unclear.
Chromium
Antidiabetes Drugs
Theoretically, chromium may have additive effects with antidiabetic agents and increase the risk of hypoglycemia.
Some research shows that taking chromium might lower blood glucose levels, especially in patients with poorly controlled type 2 diabetes.
Insulin
Theoretically, concomitant use of chromium and insulin might increase the risk of hypoglycemia.
In clinical research, chromium has been shown to increase insulin sensitivity,
Levothyroxine (Synthroid, Others)
Chromium might bind levothyroxine in the intestinal tract and decrease levothyroxine absorption.
Clinical research in healthy volunteers shows that taking chromium picolinate 1000 mcg with levothyroxine 1 mg decreases serum levels of levothyroxine by 17% when compared to taking levothyroxine alone. Advise patients to take levothyroxine at least 30 minutes before or 3-4 hours after taking chromium.
Aspirin
Theoretically, aspirin might increase chromium absorption.
Animal research suggests that aspirin may increase chromium absorption and chromium levels in the blood.
Nonsteroidal Anti-Inflammatory Drugs (Nsaids)
NSAIDs might increase chromium levels in the body.
Drugs that are prostaglandin inhibitors, such as NSAIDs, seem to increase chromium absorption and retention.
Brand information
Manufacturer and brand details for Shred Matrix, from the product label.
Shred Matrix by MusclePharm: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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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 Shred Matrix’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Biotin
Biotin (vitamin B7) is a water-soluble vitamin your body needs to turn food into energy and to support healthy hair, skin, and nails. Most people get plenty from a normal diet, and true defi...
Read the full Biotin monograph → Herb & supplement monographPantothenic Acid
Pantothenic acid is vitamin B5, an essential nutrient your body uses to turn food into energy. True deficiency is very rare because it is found in nearly all foods, and most people meet thei...
Read the full Pantothenic Acid monograph → Herb & supplement monographNiacin
Interacts with 727 drugsNiacin (vitamin B3) is an essential nutrient your body needs for energy and metabolism, and deficiency is uncommon in most developed countries. Prescription-strength niacin has been used to...
Read the full Niacin monograph → Herb & supplement monographOlive
Olive comes from the same tree that gives us olives and olive oil, and its leaf and fruit contain antioxidant compounds like oleuropein and hydroxytyrosol. Olive oil as part of a Mediterrane...
Read the full Olive monograph → Herb & supplement monographChromium
Interacts with 178 drugsChromium is an essential trace mineral involved in how the body handles sugar and fat. Some studies suggest it may modestly help blood sugar control in certain people with type 2 diabetes, b...
Read the full Chromium monograph → Herb & supplement monographMagnesium
Interacts with 295 drugsMagnesium is an essential mineral your body needs for muscles, nerves, blood pressure, and many other functions, and supplements are useful for preventing or correcting deficiency. Some othe...
Read the full Magnesium monograph →Sources & How We Checked
Shred Matrix'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 1,142 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.
Biotin 4 references
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- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline (2000). Washington, DC: National Academy Press, 2000. Available at: http://b
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Pantothenic Acid 11 references
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- Yates AA, Schlicker SA, Suitor CW. Dietary reference intakes: The new basis for recommendations for calcium and related nutrients, B vitamins, and choline. J Am Diet Assoc 1998;98:699-706. PubMed
- Debourdeau PM, Djezzar S, Estival JL, et al. Life-threatening eosinophilic pleuropericardial effusion related to vitamins B5 and H. Ann Pharmacother 2001;35:424-6. DOI
- Schmuth, M., Wimmer, M. A., Hofer, S., Sztankay, A., Weinlich, G., Linder, D. M., Elias, P. M., Fritsch, P. O., and Fritsch, E. Topical corticosteroid therapy for acute radiation dermatitis: a prospective, randomized, double-blind study. Br.J.Dermatol. 2 PubMed
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Caffeine 236 references
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