Soybean Ingredients & Drug Interactions
by Hawaii Pharm
What is this page for?
First and foremost: checking Soybean 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
Soybean is a dietary supplement by Hawaii Pharm with 1 active ingredient. Its ingredients are commonly taken for menopause symptoms (hot flashes), heart and cholesterol health, bone health.Based on those ingredients, 611 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Soybean Bean Extract, Dry. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Soybean by Hawaii Pharm
Ask about any prescription or over-the-counter medication and we check it for interactions with Soybean by Hawaii Pharm — 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 Soybean by Hawaii Pharm
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This product contains one active ingredient: Soybean Bean Extract, Dry. The other ingredients are alcohol, water, and glycerin — these are used to create the liquid form and help preserve it.
Does it work?
Moderate evidence
Soy is possibly effective for several conditions according to the evidence we have on file. These include helping to manage blood sugar in diabetes, lowering cholesterol (hyperlipidemia), supporting bone health in osteoporosis, and moderately reducing blood pressure in hypertension.
It may also help with diarrhea. That said, the word 'possibly' means the research shows promise but isn't definitive yet — more study would strengthen the case for each use.
How safe is it?
Well-documented data
When taken by mouth, soy is generally well tolerated. The most common side effects are bloating, constipation, diarrhea, and nausea.
Some people can have allergic reactions to soy, including skin rash and itching. If you have a soy allergy, this product isn't for you.
The safety notes flag a key distinction: regular soy foods eaten in normal amounts are safe, but concentrated supplements like this one deserve more caution and shouldn't be used without medical guidance. There isn't enough data on how concentrated soy supplements affect breastfeeding, so talk with your pharmacist or doctor if you're nursing.
Meds to double-check
Major interaction found
Do not use this product if you take an MAOI antidepressant without talking to your pharmacist first — the risk of dangerously high blood pressure is serious. If you take blood pressure drugs, diabetes medications, warfarin, levothyroxine, or use caffeine regularly, check your exact medications with the tool on this page before starting.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
If you take an MAOI antidepressant, blood pressure medication, diabetes medication, warfarin, levothyroxine, or caffeine regularly, you need to check with us before using this product. Even if you don't take those medications, the concentrated nature of this extract means it's worth a quick conversation with your pharmacist before you start.
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 Oct 24, 2023.
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 Soybean, straight from the product label.
| Brand | Hawaii Pharm |
|---|---|
| Barcode (UPC) | 840253649997 |
| Net contents | 4 Fluid Ounce(s); 120 mL |
| Market status | On market |
| Date entered into DSLD | Oct 24, 2023 |
| DSLD ID | 301895 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten 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 Soybean by Hawaii Pharm, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Soybean Bean Extract, Dry | 983 mg | -- |
Other ingredients: Alcohol, Water, Glycerin
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)
Hawaii Pharm Herbal Extract Highest quality since 2008
Suggested/Recommended/Usage/Directions
Suggested use: Shake well before using. For adults add about 20-30 drops (0.7-1 mL, one full squeeze of the dropper bulb) to some juice or water, up to 4 times a day.
Precautions
Warning: We recommend to seek expert medical advice before taking.
Do not use if you are allergic to any ingredients.
Consult your physician before giving to children under 18, during pregnancy, if nursing or taking medications.
Consult your physician before giving to children under 18, during pregnancy, if nursing or taking medications.
May affect the ability to drive and operate machinery. May have contraindications, can cause side effects and adverse reactions. Do not use if seal is broken or missing.
Keep out of the reach of children!
Storage
Store in a cool dry place.
Seals/Symbols
cGMP Made in compliance with cGMP 21 CFR 111 in an FDA registered and inspected facility.
Organic Alcohol Based USA Made in United States of America
FDA Disclaimer Statement
This product has not been evaluated by the FDA and is not intended to diagnose, treat, cure or prevent any disease.
General Statements
Scan this QR-code to get 15% discount on your next purchase. Limited time deal.
Formula
Glycine max
Organic Alcohol Based
Formulation
Only natural ingredients Purity is laboratory tested and verified
All the raw materials are gluten-free by their nature No artificial colors, flavors, or preservatives
Not tested on animals
Organic Alcohol Based
Made in USA, Hawaii
FDA Statement of Identity
Herbal Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Soybean by Hawaii Pharm 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 Soybean by Hawaii Pharm
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size0.7 mL Dosage formLiquid Servings per container120 Amounts shown are per serving.
Soybean Bean Extract, Dry
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...
Soybean Bean Extract, Dry monograph & interactionsOther (inactive) ingredients: Alcohol, Water, Glycerin. These complete the product’s ingredient list but are not active constituents.
Soybean by Hawaii Pharm Drug Interactions
HelloPharmacist Interaction Report
Soybean Bean Extract from Hawaii Pharm interacts with several medication types, and the most serious concern is with MAOIs (monoamine oxidase inhibitors), a class of antidepressants.
Fermented soy products contain tyramine, a compound that raises blood pressure; when you combine it with MAOIs, your liver can't break down the tyramine properly, creating a risk of dangerously high blood pressure (hypertensive crisis).
Read the full breakdown — every affected drug type, severity by severity
Moderate interactions occur with blood pressure medications (antihypertensive drugs), diabetes medications, the blood thinner warfarin, and thyroid medication (levothyroxine). Soy may lower blood pressure and blood sugar on its own, potentially adding to the effect of these drugs.
Soy can also interfere with how warfarin works and may reduce how much levothyroxine your body absorbs. Additionally, soy might slow how your body clears caffeine, and theoretically could have additive effects with diuretics (water pills).
Although estrogen replacement therapy is listed in our data, the mechanism is theoretical and human evidence is limited. Altogether, these interactions span 607 individual medications.
Before you start this product, run your current prescriptions through the medication checker on this page.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Soybean?
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 Soybean interact with 611 drugs. Click any drug to see the details.
1 of the 1 ingredient in Soybean interact with drugs. Each result below shows which ingredient is responsible. Soybean Bean Extract, Dry
AbrocitinibCibinqo
How Abrocitinib interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Soy might modestly induce CYP2C9 enzymes.
Read the full Soybean Bean Extract, Dry + Abrocitinib interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Soy might modestly induce CYP2C9 enzymes.
Read the full Soybean Bean Extract, Dry + Acetaminophen, Ibuprofen interactionAerosphere Budesonide, Formoterol Fumarate, GlycopyrrolateBreztri
How Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Soy might modestly induce CYP2C9 enzymes.
Read the full Soybean Bean Extract, Dry + Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interactionAgomelatineValdoxan
How Agomelatine interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Soy might modestly induce CYP2C9 enzymes.
Read the full Soybean Bean Extract, Dry + Agomelatine interactionAmikacinAmikin, Arikayce
How Amikacin interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Amikacin interactionAmitriptylineElavil
How Amitriptyline interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Soy might modestly induce CYP2C9 enzymes.
Read the full Soybean Bean Extract, Dry + Amitriptyline interactionAmitriptyline, ChlordiazepoxideLimbitrol DS
How Amitriptyline, Chlordiazepoxide interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Soy might modestly induce CYP2C9 enzymes.
Read the full Soybean Bean Extract, Dry + Amitriptyline, Chlordiazepoxide interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Soy might modestly induce CYP2C9 enzymes.
Read the full Soybean Bean Extract, Dry + Amitriptyline, Perphenazine interactionAmoxicillinAmix, Amoram, Amoxident, Amoxil Capsules, Amoxil Injection, Galenamox +3 more
How Amoxicillin interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Amoxicillin interactionAmoxicillin VeterinaryBiomox
How Amoxicillin Veterinary interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Amoxicillin Veterinary interactionAmoxicillin, Clavulanate PotassiumAugmentin, Augmentin '125/31 SF', Augmentin '250/62 SF', Augmentin XR, Augmentin-Duo 400/57, Clavulin
How Amoxicillin, Clavulanate Potassium interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Amoxicillin, Clavulanate Potassium interactionAmoxicillin, Omeprazole Magnesium, RifabutinTalicia
How Amoxicillin, Omeprazole Magnesium, Rifabutin interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs, Cytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionAmphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Amphotericin, Tetracycline interactionAmpicillinOmnipen, Omnipen-N, Penbritin, Principen, Rimacillin
How Ampicillin interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Ampicillin interactionAmpicillin, SulbactamUnasyn
How Ampicillin, Sulbactam interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Ampicillin, Sulbactam interactionAspirin, OmeprazoleYosprala
How Aspirin, Omeprazole interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Soy might modestly induce CYP2C9 enzymes.
Read the full Soybean Bean Extract, Dry + Aspirin, Omeprazole interactionAvibactam Sodium, CeftazidimeAvycaz
How Avibactam Sodium, Ceftazidime interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Avibactam Sodium, Ceftazidime interactionAzithromycinAzasite, Zithromax, Zmax
How Azithromycin interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Azithromycin interactionAztreonamAzactam
How Aztreonam interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Aztreonam interactionBacampicillinPenglobe
How Bacampicillin interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Bacampicillin interactionBacitracinBaci-IM, Baciguent, Bacitracin Ointment
How Bacitracin interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Bacitracin interactionBenznidazoleBenznidazole
How Benznidazole interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Benznidazole interactionBismuth Subsalicylate, Metronidazole, TetracyclineHelidac
How Bismuth Subsalicylate, Metronidazole, Tetracycline interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Bismuth Subsalicylate, Metronidazole, Tetracycline interactionBudesonide, FormoterolSymbicort
How Budesonide, Formoterol interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Soy might modestly induce CYP2C9 enzymes.
Read the full Soybean Bean Extract, Dry + Budesonide, Formoterol interactionBupivacaine, MeloxicamZynrelef Kit
How Bupivacaine, Meloxicam interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Soy might modestly induce CYP2C9 enzymes.
Read the full Soybean Bean Extract, Dry + Bupivacaine, Meloxicam interactionCapreomycinCapastat
How Capreomycin interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Capreomycin interactionCarbenicillin Indanyl SodiumGeocillin
How Carbenicillin Indanyl Sodium interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Carbenicillin Indanyl Sodium interactionCefaclorCeclor, Ceclor CD
How Cefaclor interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Cefaclor interactionCefadroxilCef-Tab, Duricef, Ultracef
How Cefadroxil interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Cefadroxil interactionCefamandoleMandol
How Cefamandole interacts with Soybean — through 1 ingredient. Tap an ingredient for the detail:
Soybean Bean Extract, DryAntibiotic Drugs Minor
Interaction Summary
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Read the full Soybean Bean Extract, Dry + Cefamandole interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Soybean 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.
Soybean Bean Extract, Dry
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.
Brand information
Manufacturer and brand details for Soybean, from the product label.
Hawaii Pharm
See all Hawaii Pharm products- Name
- Hawaii Pharm LLC
- Street Address
- 510 Sumner St. Ste. 613
- City
- Honolulu
- State
- HI
- ZipCode
- 96817
- Phone Number
- 888-854-2924
- Web Address
- www.hawaiipharm.com
Soybean by Hawaii Pharm: Common Questions
Does Soybean by Hawaii Pharm interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What are the side effects I might notice?
Is this safe to take while I'm breastfeeding?
Can soy really help with my cholesterol or blood sugar?
Why is there a big warning about fermented soy products?
Is this different from eating soy foods like tofu?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Soybean is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Soybean’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Soybean'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 88 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.
Soy 88 references
- Franke AA, Custer LJ, Tanaka Y. Isoflavones in human breast milk and other biological fluids. Am J Clin Nutr 1998;68:1466-73. PubMed
- Albertazzi P, Pansini F, Bonaccorsi G, et al. The effect of dietary soy supplementation on hot flushes. Obstet Gynecol 1998;91:6-11. PubMed
- Lu LJ, Anderson KE, Grady JJ, et al. Decreased ovarian hormones during a soya diet: implications for breast cancer prevention. Cancer Res 2000;60:4112-21.
- Pino AM, Valladares LE, Palma MA, et al. Dietary isoflavones affect sex hormone-binding globulin levels in postmenopausal women. J Clin Endocrinol Metab 2000;85:2797-800. DOI
- Nisley N, Klepser T. Phytoestrogens for the prevention and treatment of osteoporosis. Alt Med Alert 1999 Dec;138-42.
- McMichael-Phillips DF, Harding C, Morton M, et al. Effects of soy-protein supplementation on epithelial proliferation in the histologically normal human breast. Am J Clin Nutr 1998;68:1431S-5S. PubMed
- Petrakis NL, Barnes S, King EB, et al. Stimulatory influence of soy protein isolate on breast secretion in pre- and postmenopausal women. Cancer Epidemiol Biomarkers Prev 1996;5:785-94.
- Baird DD, Umbach DM, Lansdell L, et al. Dietary intervention study to assess estrogenicity of dietary soy among postmenopausal women. J Clin Endocrinol Metab 1995;80:1685-90. DOI
- Duncan AM, Underhill KE, Xu X, et al. Modest hormonal effects of soy isoflavones in postmenopausal women. J Clin Endocrinol Metab 1999;84:3479-84. PubMed
- Ginsburg J, Prelevic GM. Lack of significant hormonal effects and controlled trials of phyto-oestrogens. Lancet 2000;355:163-4. PubMed
- Anthony MS. Soy and cardiovascular disease: Cholesterol lowering and beyond. J Nutr 2000;130:662S-3S. PubMed
- Hargreaves DF, Potten CS, Harding C, et al. Two-week dietary soy supplementation has an estrogenic effect on normal premenopausal breast. J Clin Endocrinol Metab 1999;84:4017-24. DOI
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