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Dietary supplement

Smilax Supreme Ingredients & Drug Interactions

by Supreme Nutrition

Capsule Category: Botanical
Most serious interaction: Moderate
The interaction bottom line Most serious interaction: Moderate

Smilax Supreme is a dietary supplement by Supreme Nutrition with 1 active ingredient. Its ingredients are commonly taken for skin conditions like psoriasis, joint pain and arthritis, general tonic or 'blood purifier'.Based on those ingredients, 2 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Smilax officinalis. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of Smilax Supreme by Supreme Nutrition

Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.

From our pharmacy team — supplement deep dive

What’s inside

Full disclosure
Ingredient Transparency · database check
Full

Every active ingredient lists its own amount on the label.

Why this rating?
  • The label discloses an exact amount for 1 of its 1 active ingredient.
  • No proprietary blends here — you can verify the dose of every single component.

Smilax Supreme contains one active ingredient: Smilax officinalis, commonly called sarsaparilla. This is the whole formulation — no fillers or other inactive ingredients are included.

Does it work?

Couldn't assess
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Not assessable

This is a single-ingredient Sarsaparilla product and its label doesn't state a use — see Sarsaparilla's own graded uses on its monograph.

Why this rating?
  • We looked at the product name, claims, and label statements and couldn't find a stated purpose to grade.

The evidence for sarsaparilla is not established in our data. We hold insufficient reliable evidence to rate it for cancer, psoriasis, or rheumatoid arthritis — the three uses shown in our records.

If you're considering this product for a specific condition, talk with your pharmacist or doctor about what the science actually supports.

The evidence, ingredient by ingredient Sarsaparilla

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 1 of the 1 matched ingredient.
  • Pregnancy & breastfeeding safety ratings cover 1 of 1.
  • General safety write-ups exist for 1 of 1.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Sarsaparilla appears to be low-risk at food doses, but human safety data for supplement-strength doses are limited, so use caution. The safety information we hold advises against use during pregnancy and breastfeeding due to insufficient data — there isn't enough evidence to know whether it's safe at those times.

Occupational exposure to sarsaparilla root dust can trigger rhinitis and asthma symptoms, though this is mainly a workplace concern rather than a consumer supplement risk.

Side effects, ingredient by ingredient Sarsaparilla

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 1 of the 1 matched ingredient can interact with medications — Sarsaparilla.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: heart-rhythm medications; lithium.
  • For scale: 2 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Before you start Smilax Supreme, double-check whether you take lithium or digoxin (Lanoxin). Both are affected by sarsaparilla, and both changes are Moderate in severity.

Use the medication checker on this page to confirm your exact drugs.

Check your own medication Run your meds through the checker above

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.

Smilax Supreme is a single-ingredient sarsaparilla supplement. If you take lithium or digoxin, check with your pharmacist before starting — this product could affect how those drugs work.

For other people, the main question is whether the evidence supports its use for your goal; talk that through with your pharmacist.

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 May 24, 2017.

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

At a glance

General information

Key facts about Smilax Supreme, straight from the product label.

Brand Supreme Nutrition
Net contents 90 Vegetarian Capsule(s)
Market status On market
Date entered into DSLD May 24, 2017
DSLD ID 73681
Product type Botanical
Supplement form Capsule
Dietary claims / uses No Claim
Intended target group(s) Adult (18 - 50 Years)
From the 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 Smilax Supreme by Supreme Nutrition, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
0 Not Present
Maximum serving Sizes:
0 Not Present
IngredientAmount% DV
Smilax officinalis460 mg--

Tap any ingredient to jump to its full detail below.

Label statements
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formula

Smilax Supreme is packaged in a bottle containing 90 veggie capsules, each containing approximately 460 mg of Smilax officinalis without fillers, binders or excipients.

Formulation

Smilax Supreme is packaged in a bottle containing 90 veggie capsules, each containing approximately 460 mg of Smilax officinalis without fillers, binders or excipients.

General Statements

Smilax Supreme comes from the root of the plant Smilax officinalis which is a small vine that grows throughout Central and South America. This herb has been used for centuries for many purposes. Over the years it has been traditionally prescribed for the following conditions: psoriasis, arthritis, autoimmune diseases, detoxification, hormone regulation, and as a general tonic and blood purifier. It has historically been used to treat syphilis, gonorrhea, and other STD’s since at least the early 1800’s as well as for leptospirosis. Back in 1942 the New England Journal of Medicine reported on Smilax’s effectiveness in treating psoriasis. Psoriasis as well as many other diseases such as inflammatory bowel disease, various liver disorders, pancreatitis, periodontal disease, coronary artery disease, arthritis and asthma are believed to have endotoxins as a possible causative component according to many researchers. One of the main components of Smilax is sarsaponin which has been found to be an effective endotoxin binder which is very possibly the reason it has been so helpful in treating psoriasis as well as so many other symptoms/conditions. Since endotoxins can alter the manufacture of cytokines and eicosanoids, endotoxins can be very pro-inflammatory and have a vast number of effects, mostly negative. Other components of Smilax, specifically some of the flavinoids have been shown to be hepato-protective. We see Smilax filling an important niche in our work. Many alternative medicine physicians find that many of our chronic patients suffer from a variety of sub-clinical “infections” of bacterial, fungal, parasitic, viral, and spirochete origins. These “infections” can cause many symptoms effecting the derma, gastro-intestinal tract, respiratory system, etc. etc. Many of the symptoms can arise from the endotoxins, mycotoxins, etc. produced by these microbes. An herb with the potential to bind many of these toxins can be of much benefit to speed up resolution of the patients complaints. We already know of a number of natural plants that have strong anti-microbial properties but few that are noted for their endotoxin and possibly mycotoxin binding properties. As with most of our products, we test this on most if not all patients. It may show up initially or it also may not show up until dysbiosis is resolved so the body can focus more on endotoxin reduction. We see its greatest uses as: 1) A endotoxin binder and potentially a mycotoxin binder to accompany the antimicrobials you prescribe. 2) As a broad spectrum antimicrobial itself, including as a possible anti-spirochete agent (borrelia, babsesia, etc.) While the research hasn’t been done yet, its effects in treating syphilis suggest its possible usage for other spirochetes as well. 3) Immune modulator especially in people with suspected auto-immune responses. 4) It has been traditionally used to increase libido and hormone balancing so you might want to investigate it in those areas. 5) It is also theorized that it increases GI absorption of other herbs and acts as an aid to the bioavailability of

Country of manufacture: United States

See for yourself

Smilax Supreme by Supreme Nutrition label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

What’s inside

The Ingredients in Smilax Supreme by Supreme Nutrition

This is the 1 active ingredient this product is made of. Select it to open its full monograph.

Serving size0 Not Present Dosage formCapsule Amounts shown are per serving.

Smilax officinalis

Interacts with
2 drugs
460 mg per serving

Sarsaparilla is a traditional root used in teas, tonics, and old-fashioned root beer flavoring. Modern evidence for its health claims is very limited...

Smilax officinalis monograph & interactions
Interaction report

Smilax Supreme by Supreme Nutrition Drug Interactions

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2Drugs
2 Moderate

Ingredients driving the most interactions

Each ingredient & the kinds of drugs it affects

For each ingredient in Smilax Supreme 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.

Smilax officinalis2 drug types · 2 drugs

Digoxin (Lanoxin)

Theoretically, concomitant use of sarsaparilla with digoxin might increase the risk of cardiac toxicity.
Sarsaparilla is thought to have diuretic properties, which could potentially cause potassium loss. Overuse or misuse of sarsaparilla with cardiac glycoside therapy might increase the risk of cardiac toxicity due to potassium loss.

Likelihood Possible Evidence D
Lithium

Theoretically, sarsaparilla might increase the effects and adverse effects of lithium.
Sarsaparilla is thought to have diuretic properties. Due to these effects, sarsaparilla might reduce excretion and increase levels of lithium. The dose of lithium might need to be decreased.

Likelihood Probable Evidence D
The maker

Brand information

Manufacturer and brand details for Smilax Supreme, from the product label.

Supreme Nutrition

See all Supreme Nutrition products
Name
Supreme Nutrition
Pharmacist Counseling Corner

Smilax Supreme by Supreme Nutrition: Common Questions

Does Smilax Supreme by Supreme Nutrition interact with any medications?
Yes. Based on its ingredients, Smilax Supreme has a known interaction with 2 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Smilax Supreme contains a single active ingredient, and that one ingredient can interact with many different medications on its own. We check it against each medication and show the mechanism responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Can I take Smilax Supreme if I'm pregnant or breastfeeding?
The safety data we hold advise against it. There isn't enough information to know whether it's safe during pregnancy or breastfeeding. Talk with your doctor or pharmacist for personalized advice based on your situation.
Does sarsaparilla actually work for arthritis or psoriasis?
We don't have reliable evidence that it does. The data we hold show insufficient evidence to rate sarsaparilla for rheumatoid arthritis, psoriasis, or cancer. Your pharmacist can point you toward treatments with stronger evidence if you're dealing with one of those conditions.
Are there any side effects from taking sarsaparilla?
The supplement itself is considered low-risk at food amounts, though human safety data for supplement doses are limited. The main documented side effect is occupational — people exposed to sarsaparilla root dust at work can develop rhinitis and asthma symptoms, but that's not a concern for someone taking capsules.
What does sarsaparilla do in the body?
Sarsaparilla is thought to have diuretic properties, meaning it prompts your body to urinate more. That's actually why it interacts with certain heart and mood medications — the increased urination can change how those drugs are cleared from your system.

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.

Smilax Supreme label
Sources

Sources & How We Checked

Smilax Supreme'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.

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 3 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.

Sarsaparilla 3 references
  1. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
  2. Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
  3. Vandenplas O, Depelchin S, Toussaint G, et al. Occupational asthma caused by sarsaparilla root dust. J Allergy Clin Immunol 1996;97:1416-8. PubMed

See these in context on the Sarsaparilla monograph →

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

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