Soy Isoflavones Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Soy Isoflavones 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
Soy Isoflavones is a dietary supplement by The Vitamin Shoppe with 4 active ingredients. Its ingredients are commonly taken for bone health and osteoporosis prevention, dietary calcium deficiency, heartburn relief (calcium carbonate antacids).Based on those ingredients, 664 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Soy Bean Extract, Calcium. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Soy Isoflavones by The Vitamin Shoppe
Ask about any prescription or over-the-counter medication and we check it for interactions with Soy Isoflavones by The Vitamin Shoppe — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Soy Isoflavones by The Vitamin Shoppe
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This product has four active ingredients: soy protein isolate, calcium, phosphorus, and soy bean extract. Calcium and phosphorus are minerals your body needs for bone strength and other vital functions.
Soy bean extract supplies isoflavones, plant compounds found naturally in soybeans. The inactive ingredients — microcrystalline cellulose, stearic acid, croscarmellose sodium, magnesium stearate, silicon dioxide, and aqueous coating — are fillers and binders that hold the tablet together.
Does it work?
Strong evidence
Calcium is effective for preventing and treating low calcium levels (hypocalcemia), supporting bone strength in osteoporosis, and managing high potassium levels (hyperkalemia) and indigestion (dyspepsia). It's also effective for kidney failure.
Soy bean extract shows possibly effective evidence for blood sugar control in diabetes, cholesterol management (hyperlipidemia), bone health in osteoporosis, blood pressure in hypertension, and diarrhea relief. The evidence for soy is not as strong as for calcium — it points to modest benefits in specific conditions — but it has been studied in these areas.
How safe is it?
Well-documented data
Calcium is generally well tolerated at recommended doses, though high amounts can cause problems. Common side effects from oral calcium include belching, constipation, diarrhea, bloating, and stomach upset.
Rare serious concerns include kidney stones and calciphylaxis (a serious condition involving calcium deposits in soft tissue). Some research suggests very high calcium intake — over 1500 to 2000 mg daily — may be linked to increased prostate cancer risk and possibly heart disease, though this remains debated.
Soy is well tolerated when eaten as food, but concentrated isoflavone supplements warrant more caution. Common side effects include bloating, constipation, diarrhea, and nausea.
Some people have allergic reactions to soy protein — rash, itching, or other allergic symptoms. Inhaled soy dust can trigger asthma or allergy symptoms.
During pregnancy, calcium is important and safe at recommended amounts. For soy, no safety data is on file for pregnancy or breastfeeding with concentrated supplements; soy foods eaten as part of a normal diet are commonly consumed while breastfeeding, but high-dose isoflavone supplements have not been well studied.
Meds to double-check
Major interaction found
Before you take this product, check with your pharmacist if you use dolutegravir, elvitegravir, or ceftriaxone (Major interactions with calcium). Also double-check if you take levothyroxine, sotalol, diltiazem, raltegravir, calcipotriene, antihypertensive drugs, estrogen therapy, diabetes medications, diuretics, warfarin, caffeine regularly, or monoamine oxidase inhibitors (Moderate interactions with either calcium or soy).
The bottom line
Scorecard at a glanceFully disclosed formula with clinical evidence supporting its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
This product is worth considering if you need calcium and are interested in soy isoflavones for bone health or blood pressure, but you must check your medications first — calcium and soy interact with many common drugs. If you take any HIV medication, thyroid replacement, blood pressure drugs, diabetes medication, warfarin, or an older antidepressant, talk to your pharmacist before you start.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jan 25, 2016.
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 Soy Isoflavones, straight from the product label.
| Brand | The Vitamin Shoppe |
|---|---|
| Barcode (UPC) | 766536010981 |
| Net contents | 120 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Jan 25, 2016 |
| DSLD ID | 55266 |
| Product type | Other Combinations |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, Adult (18 - 50 Years), Gluten Free, Dairy Free, Sugar Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Soy Isoflavones by The Vitamin Shoppe, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Soy Protein isolate | 400 mg | -- |
| Calcium | 300 mg | 30% |
| Phosphorus | 232 mg | 23% |
| Soy Bean Extract | 2334 mg | -- |
Other ingredients: Microcrystalline Cellulose, Stearic Acid, Croscarmellose Sodium, Magnesium Stearate, Silicon Dioxide, Aqueous Coating
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
General Statements
bone
specialty
{tablet} actual size
Visit www.vitaminshoppe.com or call 1-800-223-1216 for more information and to reorder.
{QRC} learn more at vsquality.net
FDA Statement of Identity
dietary supplement
Formulation
gluten free dairy free nut free
Does not contain: Yeast, Corn, Wheat, Gluten, Sugar, Salt, Starch, Dairy, Citrus, Fish, Animal Derivatives, Preservatives, Artificial Colors or Flavors.
Seals/Symbols
V Suitable for most Vegetarians
Formula
Contains: Soy.
Precautions
Contains: Soy.
Warning: Consult your healthcare provider prior to use if you are pregnant, nursing, taking any medication or have any medical conditions.
Keep out of reach of children.
Tamper Evident Do not use if outer seal is broken or missing.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
Suggested/Recommended/Usage/Directions
Directions: As a dietary supplement, take four (4) tablets daily, preferably with meals.
Brand IP Statement(s)
The Vitamin Shoppe Isoflavones are derived from the germ of soybeans, a naturally rich source of isoflavones such as genistein, daidzein and glycitein. Isoflavones are classified as phytoestrogens.
Soylife is a registered trademark of Schouten USA Inc.
Storage
Store in a cool, dry place.
General
Item No. VS-1098 1037612 DO 1
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Soy Isoflavones by The Vitamin Shoppe 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 Soy Isoflavones by The Vitamin Shoppe
These are the 4 active ingredients this product is made of. Select any to open its full monograph.
Serving size4 Tablet(s) Dosage formTablet Or Pill Servings per container30 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Soy Protein isolate
Calcium
Interacts with168 drugs
Calcium is an essential mineral your body needs for strong bones, nerve signaling, and muscle function, and supplements can help fill gaps when diet f...
Calcium monograph & interactionsPhosphorus
Soy Bean Extract
Interacts with611 drugs
Soy is a nutritious bean that is a staple food and a popular source of plant protein and isoflavones. Eating soy foods as part of a balanced diet is g...
Soy Bean Extract monograph & interactionsOther (inactive) ingredients: Microcrystalline Cellulose, Stearic Acid, Croscarmellose Sodium, Magnesium Stearate, Silicon Dioxide, Aqueous Coating. These complete the product’s ingredient list but are not active constituents.
Soy Isoflavones by The Vitamin Shoppe Drug Interactions
HelloPharmacist Interaction Report
Soy Isoflavones by The Vitamin Shoppe contains calcium and soy bean extract, both of which interact with medications.
Calcium carries the most serious interactions — it has Major-level effects with three HIV integrase inhibitors (dolutegravir, elvitegravir, and the antibiotic ceftriaxone). Calcium reduces how well your body absorbs these drugs, sometimes by a large margin.
If you take any of these, you'll need to space doses carefully — typically 2 to 6 hours apart depending on the drug.
Read the full breakdown — every affected drug type, severity by severity
Calcium also has Moderate interactions with drugs for heart rhythm (diltiazem), thyroid hormone replacement (levothyroxine), blood pressure control (sotalol), and bone health (calcipotriene), as well as with the HIV integrase inhibitor raltegravir. Soy bean extract carries Moderate interactions with antihypertensive drugs, estrogen therapy, diabetes medications, blood thinners (warfarin), thyroid replacement, certain water pills (diuretics), caffeine, and monoamine oxidase inhibitors (MAOIs — a class of older antidepressants) — the last of which can trigger dangerously high blood pressure if the soy product contains fermented soy high in tyramine.
We could not check soy protein isolate or phosphorus for interactions; interaction data is not on file for them. Altogether, these interactions span 659 individual medications.
Use the medication checker on this page to look up your exact prescriptions before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Soy Isoflavones?
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 Soy Isoflavones interact with 664 drugs. Click any drug to see the details.
2 of the 4 ingredients in Soy Isoflavones interact with drugs. Each result below shows which ingredient is responsible. Soy Bean Extract Calcium
AmphetamineAdensys XR-ODT, Adzenys ER, Dyanavel XR, Mydayis
How Amphetamine interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Bean Extract + Amphetamine interactionCeftriaxoneRocephin
How Ceftriaxone interacts with Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
CalciumCeftriaxone (rocephin) Major
Interaction Summary
Co-administration of intravenous calcium and ceftriaxone can result in precipitation of a ceftriaxone-calcium salt in the lungs and kidneys.
Read the full Calcium + Ceftriaxone interactionSoy Bean ExtractAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soy Bean Extract + Ceftriaxone interactionCobicistat, Elvitegravir, Emtricitabine, Tenofovir Alafenamide FumarateGenvoya
How Cobicistat, Elvitegravir, Emtricitabine, Tenofovir Alafenamide Fumarate interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
CalciumElvitegravir (vitekta), Bictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Major
Interaction Summary
Calcium seems to reduce levels of elvitegravir.
Read the full Calcium + Cobicistat, Elvitegravir, Emtricitabine, Tenofovir Alafenamide Fumarate interactionDolutegravirTivicay
How Dolutegravir interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
CalciumDolutegravir (tivicay) Major
Interaction Summary
Calcium seems to reduce levels of dolutegravir.
Read the full Calcium + Dolutegravir interactionDolutegravir, Emtricitabine, Tenofovir AlafenamideDolutegravir, Emtricitabine, Tenofovir Alafenamide
How Dolutegravir, Emtricitabine, Tenofovir Alafenamide interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
CalciumDolutegravir (tivicay), Bictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Major
Interaction Summary
Calcium seems to reduce levels of dolutegravir.
Read the full Calcium + Dolutegravir, Emtricitabine, Tenofovir Alafenamide interactionDolutegravir, RilpivirineJuluca
How Dolutegravir, Rilpivirine interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
CalciumDolutegravir (tivicay) Major
Interaction Summary
Calcium seems to reduce levels of dolutegravir.
Read the full Calcium + Dolutegravir, Rilpivirine interactionElvitegravirVitekta
How Elvitegravir interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
CalciumElvitegravir (vitekta) Major
Interaction Summary
Calcium seems to reduce levels of elvitegravir.
Read the full Calcium + Elvitegravir interactionElvitegravir, Cobicistat, Emtricitabine, Tenofovir Disoproxil FumarateStribild
How Elvitegravir, Cobicistat, Emtricitabine, Tenofovir Disoproxil Fumarate interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
CalciumElvitegravir (vitekta), Bictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Major
Interaction Summary
Calcium seems to reduce levels of elvitegravir.
Read the full Calcium + Elvitegravir, Cobicistat, Emtricitabine, Tenofovir Disoproxil Fumarate interactionIsocarboxazidMarplan
How Isocarboxazid interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Bean Extract + Isocarboxazid interactionMoclobemideManerix, Moclobemide
How Moclobemide interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Bean Extract + Moclobemide interactionOzanimod HydrochlorideZeposia
How Ozanimod Hydrochloride interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Bean Extract + Ozanimod Hydrochloride interactionPhenelzine SulfateNardil
How Phenelzine Sulfate interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Bean Extract + Phenelzine Sulfate interactionRasagilineAzilect
How Rasagiline interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Bean Extract + Rasagiline interactionSafinamide MesylateXadago
How Safinamide Mesylate interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Bean Extract + Safinamide Mesylate interactionSelegilineCarbex, Eldepryl, Emsam, Zelapar
How Selegiline interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Bean Extract + Selegiline interactionTranylcypromineParnate
How Tranylcypromine interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Bean Extract + Tranylcypromine interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soy Bean Extract + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically soy protein may have additive effects with antihypertensive drugs and increase the risk of hypotension.
Read the full Soy Bean Extract + Acebutolol interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Bean Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Bean Extract + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Bean Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Bean Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Bean Extract + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Bean Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Bean Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Bean Extract + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractDiuretic Drugs, Caffeine Moderate
Interaction Summary
Theoretically, soy might have additive effects when used with diuretic drugs.
Read the full Soy Bean Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Pamabrom, PyrilamineMidol Max Strength PMS, Pamprin, Pamprin ES
How Acetaminophen, Pamabrom, Pyrilamine interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, soy might have additive effects when used with diuretic drugs.
Read the full Soy Bean Extract + Acetaminophen, Pamabrom, Pyrilamine interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractDiuretic Drugs, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, soy might have additive effects when used with diuretic drugs.
Read the full Soy Bean Extract + Acetazolamide interactionAcetohexamideDymelor
How Acetohexamide interacts with Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soy Bean ExtractAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soy Bean Extract + Acetohexamide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Soy Isoflavones 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.
Soy Bean Extract
Monoamine Oxidase Inhibitors (Maois)
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Fermented soy products such as tofu and soy sauce contain tyramine, a naturally occurring chemical that affects blood pressure regulation. The metabolism of tyramine is decreased by MAOIs. Consuming more than 6 mg of tyramine while taking an MAOI can increase the risk of hypertensive crisis. The amount of tyramine in fermented soy products is usually less than 0.6 mg per serving; however, there can be significant variation depending on the specific product used, storage conditions, and length of storage. Storing one brand of tofu for a week can increase tyramine content from 0.23 mg to 4.8 mg per serving. Advise patients taking MAOIs to avoid fermented soy products that contain high amounts of tyramine.
Antidiabetes Drugs
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Clinical research shows that whole soy diets and soy-based meals reduce fasting glucose levels in diabetic and non-diabetic individuals. Also, individuals following a soy-based meal replacement plan seem to require lower doses of sulfonylureas and metformin to manage blood glucose levels when compared with individuals following a diet plan recommended by the American Diabetes Association.
Antihypertensive Drugs
Theoretically soy protein may have additive effects with antihypertensive drugs and increase the risk of hypotension.
Although some contradictory research exists, most clinical evidence suggests that consuming soy protein modestly reduces systolic and diastolic blood pressure in individuals with prehypertension or hypertension.
Caffeine
Theoretically, soy might reduce the clearance of caffeine.
Soy contains genistein. Taking genistein 1 gram daily for 14 days seems to inhibit caffeine clearance and metabolism in healthy females. This effect has been attributed to inhibition of the cytochrome P450 1A2 (CYP1A2) enzyme, which is involved in caffeine metabolism. It is unclear if this effect occurs with the lower amounts of genistein found in soy.
Diuretic Drugs
Theoretically, soy might have additive effects when used with diuretic drugs.
Animal research suggests that genistein, a soy isoflavone, increases diuresis within 6 hours of subcutaneous administration in rats. The effects seem to be similar to those of furosemide. This effect has not been reported in humans.
Estrogens
Theoretically, soy might competitively inhibit the effects of estrogen replacement therapy.
Soy contains phytoestrogens and has been shown to have estrogenic activity in some patients. Although this has not been demonstrated in humans, theoretically, concomitant use of soy with estrogen replacement therapy might reduce the effects of the estrogen replacement therapy.
Levothyroxine (Synthroid, Others)
Soy products might reduce the absorption of levothyroxine in some patients.
Preliminary clinical research and a case report suggest that soy-based formulas inhibit the absorption of levothyroxine in infants with congenital hypothyroidism. A levothyroxine dosage increase may be needed for infants with congenital hypothyroidism while using soy-based formulas, and the dose may need to be reduced when soy-based formulas are no longer administered. However, in postmenopausal adults, clinical research shows that taking a single dose of soy extract containing isoflavones 60 mg along with levothyroxine does not affect the oral bioavailability of levothyroxine.
Progesterone
Theoretically, combining soy isoflavones with transdermal progesterone may worsen bone density.
Clinical research suggests that significant bone loss may occur in females with osteoporosis who receive a combination of transdermal progesterone with soy milk containing isoflavones when compared with placebo, soy milk alone, or progesterone alone.
Tamoxifen (Nolvadex)
Theoretically, estrogenic soy isoflavones might alter the effects of tamoxifen.
Laboratory research suggests that genistein and daidzen, isoflavones from soy, can antagonize the antitumor effects of tamoxifen under some circumstances; however, soy isoflavones might have different effects when used at different doses. A relatively low in vitro concentration of soy isoflavones such as 1 microM/L seems to interfere with tamoxifen, whereas high in vitro concentrations such as those >10 microM/L might actually enhance tamoxifen effects. People on a high-soy diet have soy isoflavones levels ranging from 0.1-6 microM/L. Until more is known, advise patients taking tamoxifen to avoid therapeutic use of soy products.
Warfarin (Coumadin)
Theoretically, soy might interfere with the effects of warfarin.
Soy milk has been reported to decrease the international normalized ratio (INR) in a patient taking warfarin. The mechanism of this interaction is not known. However, animal and in vitro research suggests that soy may also inhibit platelet aggregation. Dosing adjustments for warfarin may be necessary.
Antibiotic Drugs
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Intestinal bacteria are responsible in part for converting soy isoflavones into their active forms. Antibiotics may decrease the amount of intestinal bacteria and decrease its ability to convert isoflavones.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Soy might modestly induce CYP2C9 enzymes. However, this effect does not seem to be clinically significant.
In vitro research suggests that an unhydrolyzed soy extract might induce CYP2C9. However, the significance of this interaction is likely minimal. In healthy females taking a specific extract of soy (Genistein Soy Complex, Source Naturals), blood levels of losartan, a CYP2C9 substrate, were not significantly affected.
Calcium
Ceftriaxone (Rocephin)
Co-administration of intravenous calcium and ceftriaxone can result in precipitation of a ceftriaxone-calcium salt in the lungs and kidneys.
Avoid administering intravenous calcium in any form, such as parenteral nutrition or Lactated Ringers, within 48 hours of intravenous ceftriaxone. Case reports in neonates show that administering intravenous ceftriaxone and calcium can result in precipitation of a ceftriaxone-calcium salt in the lungs and kidneys. In several cases, neonates have died as a result of this interaction. So far there are no reports in adults; however, there is still concern that this interaction might occur in adults.
Dolutegravir (Tivicay)
Calcium seems to reduce levels of dolutegravir.
Advise patients to take dolutegravir either 2 hours before or 6 hours after taking calcium supplements. Pharmacokinetic research suggests that taking calcium carbonate 1200 mg concomitantly with dolutegravir 50 mg reduces plasma levels of dolutegravir by almost 40%. Calcium appears to decrease levels of dolutegravir through chelation.
Elvitegravir (Vitekta)
Calcium seems to reduce levels of elvitegravir.
Advise patients to take elvitegravir either 2 hours before or 2 hours after taking calcium supplements. Pharmacokinetic research suggests that taking calcium along with elvitegravir can reduce blood levels of elvitegravir through chelation.
Aluminum
Calcium citrate might increase aluminum absorption and toxicity. Other types of calcium do not increase aluminum absorption.
Calcium citrate can increase the absorption of aluminum when taken with aluminum hydroxide. The increase in aluminum levels may become toxic, particularly in individuals with kidney disease. However, the effect of calcium citrate on aluminum absorption is due to the citrate anion rather than calcium cation. Calcium acetate does not appear to increase aluminum absorption.
Bictegravir/Emtricitabine/Tenofovir Alafenamide (Biktarvy)
Calcium might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption when taken in a fasting state.
Advise patients that bictegravir/emtricitabine/tenofovir alafenamide and calcium can be taken together if taken with food. However, if taken on an empty stomach, bictegravir/emtricitabine/tenofovir alafenamide should not be taken with, or 2 hours after, calcium containing products.
Bisphosphonates
Calcium reduces the absorption of bisphosphonates.
Advise patients to take bisphosphonates at least 30 minutes before calcium, but preferably at a different time of day. Calcium supplements decrease absorption of bisphosphonates.
Calcipotriene (Dovonex)
Taking calcipotriene with calcium might increase the risk for hypercalcemia.
Calcipotriene is a vitamin D analog used topically for psoriasis. It can be absorbed in sufficient amounts to cause systemic effects, including hypercalcemia. Theoretically, combining calcipotriene with calcium supplements might increase the risk of hypercalcemia.
Digoxin (Lanoxin)
Using intravenous calcium with digoxin might increase the risk of fatal cardiac arrhythmias.
Hypercalcemia increases the risk of fatal cardiac arrhythmias with digoxin. However, one retrospective analysis of clinical data suggests that intravenous calcium does not increase the risk of dysrhythmias or mortality in patients receiving digoxin.
Diltiazem (Cardizem, Others)
Theoretically, calcium may reduce the therapeutic effects of diltiazem.
Hypercalcemia can reduce the effectiveness of verapamil in atrial fibrillation. Theoretically, calcium might increase this risk of hypercalcemia and reduce the effectiveness of diltiazem.
Levothyroxine (Synthroid, Others)
Calcium seems to reduce the absorption and effectiveness of levothyroxine.
Advise patients to take levothyroxine and calcium supplements at least 4 hours apart. Calcium reduces levothyroxine absorption, probably by forming insoluble complexes. Calcium carbonate supplements reduce effectiveness of levothyroxine in patients with hypothyroidism.
Lithium
Theoretically, concomitant use of calcium and lithium may increase this risk of hypercalcemia.
Clinical research suggests that long-term use of lithium may cause hypercalcemia in 10% to 60% of patients. Theoretically, concomitant use of lithium and calcium supplements may further increase this risk.
Quinolone Antibiotics
Calcium seems to reduce the absorption of quinolone antibiotics.
Advise patients to take oral quinolones at least 2 hours before or 4-6 hours after calcium supplements or calcium-fortified foods. Taking calcium at the same time as oral quinolones can reduce quinolone absorption. Calcium binds to quinolones in the gut.
Raltegravir (Isentress)
Calcium may reduce levels of raltegravir.
Pharmacokinetic research shows that taking a single dose of calcium carbonate 3000 mg along with raltegravir 400 mg twice daily modestly decreases the mean area under the curve of raltegravir, but the decrease does not necessitate a dose adjustment of raltegravir. However, a case of elevated HIV-1 RNA levels and documented resistance to raltegravir has been reported for a patient taking calcium carbonate 1 gram three times daily plus vitamin D3 (cholecalciferol) 400 IU three times daily in combination with raltegravir 400 mg twice daily for 11 months. It is thought that calcium reduced raltegravir levels by chelation, leading to treatment failure.
Sotalol (Betapace)
Calcium seems to reduce the absorption of sotalol.
Advise patients to separate doses by at least 2 hours before or 4-6 hours after calcium. Calcium appears to reduce the absorption of sotalol, probably by forming insoluble complexes.
Tetracycline Antibiotics
Calcium seems to reduce the absorption of tetracycline antibiotics.
Advise patients to take oral tetracyclines at least 2 hours before, or 4-6 hours after calcium supplements. Taking calcium at the same time as oral tetracyclines can reduce tetracycline absorption. Calcium binds to tetracyclines in the gut.
Thiazide Diuretics
Taking calcium along with thiazides might increase the risk of hypercalcemia and renal failure.
Thiazides reduce calcium excretion by the kidneys. Using thiazides along with moderately large amounts of calcium carbonate increases the risk of milk-alkali syndrome (hypercalcemia, metabolic alkalosis, renal failure). Patients may need to have their serum calcium levels and/or parathyroid function monitored regularly.
Verapamil (Calan, Others)
Theoretically, calcium may reduce the therapeutic effects of verapamil.
Hypercalcemia can reduce the effectiveness of verapamil in atrial fibrillation. Theoretically, use of calcium supplements may increase this risk of hypercalcemia and reduce the effectiveness of verapamil.
Calcium Channel Blockers
Intravenous calcium may decrease the effects of calcium channel blockers; oral calcium is unlikely to have this effect.
Intravenous calcium is used to decrease the effects of calcium channel blockers in the management of overdose. Intravenous calcium gluconate has been used before intravenous verapamil (Isoptin) to prevent or reduce the hypotensive effects without affecting the antiarrhythmic effects. But there is no evidence that dietary or supplemental calcium when taken orally interacts with calcium channel blockers.
Brand information
Manufacturer and brand details for Soy Isoflavones, from the product label.
The Vitamin Shoppe
See all The Vitamin Shoppe products- Name
- Vitamin Shoppe, Inc.
- City
- Secaucus
- State
- NJ
- ZipCode
- 07094
- Phone Number
- 1-800-223-1216
- Web Address
- www.vitaminshoppe.com
Soy Isoflavones by The Vitamin Shoppe: Common Questions
Does Soy Isoflavones by The Vitamin Shoppe interact with any medications?
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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 Soy Isoflavones’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Calcium
Interacts with 168 drugsCalcium is an essential mineral your body needs for strong bones, nerve signaling, and muscle function, and supplements can help fill gaps when diet falls short. Most people do best getting...
Read the full Calcium monograph → Herb & supplement monographSoy
Interacts with 611 drugsSoy is a nutritious bean that is a staple food and a popular source of plant protein and isoflavones. Eating soy foods as part of a balanced diet is generally considered safe for most people...
Read the full Soy monograph →Sources & How We Checked
Soy Isoflavones'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 150 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.
Calcium 62 references
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- Rocephin (ceftriaxone) and calcium interaction. Pharmacist's Letter / Prescriber's Letter 2007;23(10):231005.
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- Neuhofel, A. L., Wilton, J. H., Victory, J. M., Hejmanowsk, L. G., and Amsden, G. W. Lack of bioequivalence of ciprofloxacin when administered with calcium-fortified orange juice: a new twist on an old interaction. J Clin Pharmacol. 2002;42(4):461-466. DOI
- Dickinson, H. O., Nicolson, D. J., Cook, J. V., Campbell, F., Beyer, F. R., Ford, G. A., and Mason, J. Calcium supplementation for the management of primary hypertension in adults. Cochrane.Database.Syst.Rev. 2006;(2):CD004639. PubMed
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- Levine, M., Nikkanen, H., and Pallin, D. J. The effects of intravenous calcium in patients with digoxin toxicity. J Emerg.Med. 2011;40(1):41-46. PubMed
- Castelo-Branco, C., Ciria-Recasens, M., Cancelo-Hidalgo, M. J., Palacios, S., Haya-Palazuelos, J., Carbonell-Abello, J., Blanch-Rubio, J., Martinez-Zapata, M. J., Manasanch, J., and Perez-Edo, L. Efficacy of ossein-hydroxyapatite complex compared with ca
- Li K, Kaaks R, Linseisen J, Rohrmann S. Associations of dietary calcium intake and calcium supplementation with myocardial infarction and stroke risk and overall cardiovascular mortality in the Heidelberg cohort of the European Prospective Investigation i
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- Insentress [package insert]. Whitehouse Station, NJ: Merck Sharp & Dohme Corp.; 2014.
- Roberts JL, Kiser JJ, Hindman JT, Meditz AL. Virologic failure with a raltegravir-containing antiretroviral regimen and concomitant calcium administration. Pharmacotherapy 2011;31(10):298e-302e. DOI
- Vitekta [package insert]. Foster City, CA: Gilead Sciences, Inc.; 2014.
- Storan ER, O'Gorman SM, Murphy A, Laing M. Case Report of Calciphylaxis Secondary to Calcium and Vitamin D<sub>3</sub> Supplementation. J Cutan Med Surg. 2017;21(2):162-163. DOI
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Soy 88 references
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