Spirodrene Ingredients & Drug Interactions
by EST Engineered Sports Technology
What is this page for?
First and foremost: checking Spirodrene 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
Spirodrene is a dietary supplement by EST Engineered Sports Technology with 6 active ingredients. Its ingredients are commonly taken for treating or preventing b12 deficiency, pernicious anemia, low energy and fatigue.Based on those ingredients, 1,439 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Vitamin B3, Vitamin B, Vitamin B12. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
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HelloPharmacist Scorecard of Spirodrene by EST Engineered Sports Technology
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
Spirodrene contains 15 ingredients, including several actives: raspberry ketone, N-Acetyl L-Tyrosine, kelp, vitamin B12, di-caffeine malate, vitamin B3, yohimbine HCl, caffeine, 1,3-dimethylamylamine (DMAA), theobromine, L-tyrosine variants, vitamin B6, red tea, and white ginseng. Two inactive ingredients—stearic acid and magnesium stearate—are used as binding and flow agents in the tablet.
Does it work?
Strong evidence
The evidence for most of Spirodrene's ingredients is limited or absent. Vitamin B12 is effective for B12 deficiency and likely effective for cyanide poisoning, and possibly effective for canker sores and nerve pain.
Caffeine (from both di-caffeine malate and caffeine) is effective for neonatal apnea and postoperative headache, and likely effective for mental alertness and athletic performance. Vitamin B6 is effective for sideroblastic anemia and B6 deficiency, likely effective for high homocysteine, and possibly effective for pregnancy-related nausea.
Tyrosine is effective for phenylketonuria (PKU) and possibly effective for cognitive function and memory, though possibly ineffective for athletic performance. For raspberry ketone, obesity, and alopecia areata, the data shows insufficient evidence to rate these claims.
The evidence for DMAA, yohimbine, and the other blend components is not established in our data.
How safe is it?
Well-documented data
Most of Spirodrene's ingredients are generally well tolerated in moderate amounts, but caffeine and DMAA carry serious cautions. Caffeine in high doses can cause anxiety, insomnia, tremors, nausea, and rarely stroke; DMAA is banned in many countries and linked to heart attack, stroke, heart rhythm problems, and severe lactic acidosis.
Raspberry ketone resembles a stimulant and case reports describe heart palpitations, high blood pressure, and in one case a life-threatening heart rhythm disturbance. Tyrosine at high doses may cause headache and fatigue; vitamin B6 at very high doses over time can damage nerves.
For pregnancy, the safety data advises against raspberry ketone and DMAA; caffeine, tyrosine, and B6 should be used only under a doctor's guidance; and vitamin B12 is safe at normal amounts. For breastfeeding, caffeine, tyrosine, and B6 require caution; raspberry ketone and DMAA should be avoided; and B12 is safe at recommended amounts.
We hold no pregnancy or breastfeeding safety data for N-Acetyl L-Tyrosine, kelp, vitamin B3, yohimbine, theobromine, red tea, or white ginseng.
Meds to double-check
Major interaction found
Before taking Spirodrene, check with your pharmacist or doctor if you take ephedrine or any stimulant drug (Major risk); warfarin or other blood thinners; pentobarbital, dipyridamole, clozapine, cimetidine, quinolone antibiotics (like ciprofloxacin), phenobarbital, or carbamazepine (Moderate risk); metformin for diabetes, levodopa for Parkinson's, thyroid hormones, antihypertensive (blood pressure) drugs, amiodarone, phenytoin, or any CYP2D6 substrate drugs like certain antidepressants or pain relievers (Moderate or Minor risk). No interactions are documented for the ingredients we could not fully check.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with strong clinical evidence behind its ingredients' uses. Major medication interactions have been identified, and safety information is well characterized.
Spirodrene is a complex multi-ingredient stimulant product with serious cardiovascular risks, especially for anyone taking heart or blood pressure medications, seizure drugs, or other stimulants. If you take warfarin, diabetes medication, Parkinson's meds, thyroid hormone, or any prescription drug, check your exact medications with the tool on this page before starting.
This is not a product to take without pharmacist or doctor review.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 11 of 15 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 25, 2011.
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 Spirodrene, straight from the product label.
| Brand | EST Engineered Sports Technology |
|---|---|
| Net contents | 30 Spiro Tab(s) |
| Market status | On market |
| Date entered into DSLD | Nov 25, 2011 |
| DSLD ID | 1963 |
| Product type | Other Combinations |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other |
| 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 Spirodrene by EST Engineered Sports Technology, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Raspberry Ketone | 0 NP | -- |
| N-Acetyl L-Tyrosine | 0 NP | -- |
| Kelp | 0 NP | -- |
| Vitamin B12 | 200 mcg | 3333% |
| Di-Caffeine Malate | 0 NP | -- |
| Vitamin B3 | 10 mg | 50% |
| Yohimbine HCl | 0 NP | -- |
| Caffeine | 0 NP | -- |
| 1,3 Dimethylamylamine | 0 NP | -- |
| Theobromine | 0 NP | -- |
| 4-Hydroxyphenylalanine | 0 NP | -- |
| L-Tyrosine AKG | 0 NP | -- |
| L-Tyrosine Ethyl Ester | 0 NP | -- |
| Vitamin B | 25 mg | 1250% |
| Spirodrene Exclusive Blend | 580 mg | -- |
| Immediate Release | 0 NP | -- |
| Red Tea | 0 NP | -- |
| White Ginseng | 0 NP | -- |
| Secondary Release | 0 NP | -- |
| Thyro-T | 0 NP | -- |
Other ingredients: Stearic Acid, Magnesium Stearate
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
CAUTION: SPIRODRENE(TM) is highly potent. DO NOT consume more than ONE serving daily.
Do not exceed recommended dose.
Suggested Use: Take one Spiro Tab daily. Do not exceed more than one serving daily, as Spirodrene is highly potent. For best results, always remember to drink at least 64 oz. (8 glasses) of water daily.
General Statements
580 mg
Dual Staged Time Dispersed Delivery
ENGINEERED SPORTS TECHNOLOGY
ONE-A-DAY Technology
Promotes Lipolysis & Metabolic Rate May Support Proper Thyroid Function Promotes Body Fat Reduction via Multi-Receptor Activity Promotes Energy & Well-Being
Precautions
Consult your physician prior to use if you are pregnant or nursing, or if you are taking medications; including, but not limited to MAOI inhibitors, antidepressants, aspirin, nonsteroidal anti-inflammatory drugs, or other stimulants.
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 two weeks prior to surgery or if you experience rapid heart beat, dizziness, severe headache, or shortness of breath.
Do not consume caffeine from other sources, including but not limited to; coffee, tea, soda, and other dietary supplements or medications containing phenylephrine or caffeine. Spirodrene(TM) contains caffeine and should not be taken by individuals wishing to eliminate this ingredient from their diet.
If you have difficulty sleeping, do not take after 4:00 PM. Healthy adults should cycle off this product after twelve weeks of use.
Warning: Not intended for use for persons under the age of 18.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Spirodrene by EST Engineered Sports Technology 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 Spirodrene by EST Engineered Sports Technology
These are the 6 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 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.
Vitamin B12
Interacts with20 drugs
Vitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very h...
Vitamin B12 monograph & interactionsVitamin B3
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...
Vitamin B3 monograph & interactionsVitamin B
Interacts with210 drugs
Vitamin B6 (pyridoxine) is an essential water-soluble vitamin that your body needs for metabolism, brain function, and making red blood cells. It is b...
Vitamin B monograph & interactionsSpirodrene Exclusive Blend
- › Immediate Release
- › Secondary Release
- › Thyro-T
Other (inactive) ingredients: Stearic Acid, Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.
Spirodrene by EST Engineered Sports Technology Drug Interactions
HelloPharmacist Interaction Report
Spirodrene by EST Engineered Sports Technology contains multiple ingredients with documented interactions with medications.
The most serious concern is di-caffeine malate and caffeine, which have a Major severity interaction with ephedrine — combining them risks serious, life-threatening stimulant effects including heart attack, stroke, severe high blood pressure, and dangerous heart rhythms.
Read the full breakdown — every affected drug type, severity by severity
Raspberry ketone carries Moderate interactions with stimulant drugs (risk of heart palpitations, high blood pressure, and abnormal heart rhythms) and warfarin, a blood thinner — raspberry ketone may reduce warfarin's effectiveness and require a dose increase to maintain protection against clots. The caffeine ingredients (di-caffeine malate and caffeine) also interact Moderately with pentobarbital (a sedative), dipyridamole (a blood vessel dilator used in stress tests), clozapine (an antipsychotic), cimetidine (an acid reflux drug), quinolone antibiotics, phenobarbital and carbamazepine (seizure medications) — affecting how these drugs work or increasing caffeine levels to toxic levels.
1,3-Dimethylamylamine (DMAA) interacts Moderately with CYP2D6 substrate drugs (a large group including antidepressants, pain relievers, and others) and stimulant drugs, raising the risk of dangerous heart and blood pressure effects. Tyrosine (L-Tyrosine Ethyl Ester) has Moderate interactions with levodopa (a Parkinson's medication) and thyroid hormones, potentially reducing levodopa's benefit or amplifying thyroid effects.
Vitamin B6 interacts Moderately with blood pressure drugs, amiodarone (a heart rhythm medication), phenobarbital, and phenytoin (seizure drugs), and carries a Minor interaction with levodopa.
Vitamin B12 has a Minor interaction with metformin (diabetes medication), which may lower B12 levels. We could not check N-Acetyl L-Tyrosine, Kelp, Vitamin B3, Yohimbine HCl, Theobromine, L-Tyrosine AKG, Red Tea, or White Ginseng for interactions.
Altogether, these interactions span 879 individual medications. Use the medication checker on this page to search your exact drugs before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Spirodrene?
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 Spirodrene interact with 1,439 drugs. Click any drug to see the details.
3 of the 6 ingredients in Spirodrene interact with drugs. Each result below shows which ingredient is responsible. Vitamin B3 Vitamin B Vitamin B12
Aminophylline, Amobarbital, EphedrineAmesec
How Aminophylline, Amobarbital, Ephedrine interacts with Spirodrene — through 5 ingredients. Tap an ingredient for the detail:
CaffeineEphedrine, Stimulant Drugs Major
Interaction Summary
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Read the full Caffeine + 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 interaction1,3 DimethylamylamineStimulant Drugs Moderate
Interaction Summary
1,3-DMAA is thought to have stimulant effects.
Read the full 1,3 Dimethylamylamine + Aminophylline, Amobarbital, Ephedrine interactionRaspberry KetoneStimulant Drugs Moderate
Interaction Summary
Theoretically, raspberry ketone might increase the risk of adverse cardiovascular effects with stimulant drugs.
Read the full Raspberry Ketone + Aminophylline, Amobarbital, Ephedrine interactionTheobromineStimulant Drugs, Ephedrine Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Theobromine + Aminophylline, Amobarbital, Ephedrine interactionAmphetamineAdensys XR-ODT, Adzenys ER, Dyanavel XR, Mydayis
How Amphetamine interacts with Spirodrene — through 6 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 interaction1,3 DimethylamylamineStimulant Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
1,3-DMAA is thought to have stimulant effects.
Read the full 1,3 Dimethylamylamine + Amphetamine interactionRaspberry KetoneStimulant Drugs Moderate
Interaction Summary
Theoretically, raspberry ketone might increase the risk of adverse cardiovascular effects with stimulant drugs.
Read the full Raspberry Ketone + Amphetamine interactionCaffeineMonoamine Oxidase Inhibitors (maois), Stimulant Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine + Amphetamine interactionTheobromineStimulant Drugs, Monoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Theobromine + Amphetamine interactionKelpCytochrome P450 2d6 (cyp2d6) Substrates Minor
Interaction Summary
Theoretically, concomitant use of Fucus vesiculosus with CYP2D6 substrates might alter the effects of these substrates.
Read the full Kelp + Amphetamine 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 Spirodrene — through 6 ingredients. Tap an ingredient for the detail:
CaffeineEphedrine, Stimulant Drugs Major
Interaction Summary
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Read the full Caffeine + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionTheobromineEphedrine, Stimulant Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Read the full Theobromine + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionRaspberry KetoneStimulant Drugs Moderate
Interaction Summary
Theoretically, raspberry ketone might increase the risk of adverse cardiovascular effects with stimulant drugs.
Read the full Raspberry Ketone + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interaction1,3 DimethylamylamineStimulant Drugs Moderate
Interaction Summary
1,3-DMAA is thought to have stimulant effects.
Read the full 1,3 Dimethylamylamine + 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 interactionKelpCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, concomitant use of Fucus vesiculosus with CYP3A4 substrates might increase the risk for adverse effects.
Read the full Kelp + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionDyphylline, Ephedrine, Guaifenesin, PhenobarbitalLufyllin-EPG
How Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interacts with Spirodrene — through 6 ingredients. Tap an ingredient for the detail:
CaffeineStimulant Drugs, Phenobarbital (luminal) +1 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Caffeine + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionTheobromineStimulant Drugs, Phenobarbital (luminal) +1 Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Theobromine + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interaction1,3 DimethylamylamineStimulant Drugs Moderate
Interaction Summary
1,3-DMAA is thought to have stimulant effects.
Read the full 1,3 Dimethylamylamine + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionRaspberry KetoneStimulant Drugs Moderate
Interaction Summary
Theoretically, raspberry ketone might increase the risk of adverse cardiovascular effects with stimulant drugs.
Read the full Raspberry Ketone + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionVitamin BPhenobarbital (luminal) Moderate
Interaction Summary
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Read the full Vitamin B + 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 Spirodrene — through 5 ingredients. Tap an ingredient for the detail:
CaffeineStimulant Drugs, Ephedrine Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Caffeine + Ephedrine, Guaifenesin (otc Drug) interaction1,3 DimethylamylamineStimulant Drugs Moderate
Interaction Summary
1,3-DMAA is thought to have stimulant effects.
Read the full 1,3 Dimethylamylamine + Ephedrine, Guaifenesin (otc Drug) interactionRaspberry KetoneStimulant Drugs Moderate
Interaction Summary
Theoretically, raspberry ketone might increase the risk of adverse cardiovascular effects with stimulant drugs.
Read the full Raspberry Ketone + 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) interactionTheobromineStimulant Drugs, Ephedrine Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Theobromine + Ephedrine, Guaifenesin (otc Drug) interactionEphedrine, Guaifenesin, Phenobarbital, TheophyllineMudrane GG
How Ephedrine, Guaifenesin, Phenobarbital, Theophylline interacts with Spirodrene — through 6 ingredients. Tap an ingredient for the detail:
CaffeinePhenobarbital (luminal), Ephedrine +2 Major
Interaction Summary
Theoretically, caffeine might reduce the effects of phenobarbital and increase the risk for convulsions.
Read the full Caffeine + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionTheobromineTheophylline, Phenobarbital (luminal) +2 Moderate
Interaction Summary
Theoretically, cocoa might increase the levels and adverse effects of theophylline.
Read the full Theobromine + Ephedrine, Guaifenesin, Phenobarbital, 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, Guaifenesin, Phenobarbital, Theophylline interactionRaspberry KetoneStimulant Drugs Moderate
Interaction Summary
Theoretically, raspberry ketone might increase the risk of adverse cardiovascular effects with stimulant drugs.
Read the full Raspberry Ketone + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionVitamin BPhenobarbital (luminal) Moderate
Interaction Summary
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Read the full Vitamin B + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interaction1,3 DimethylamylamineStimulant Drugs Moderate
Interaction Summary
1,3-DMAA is thought to have stimulant effects.
Read the full 1,3 Dimethylamylamine + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionEphedrine, Hydroxyzine, TheophyllineAmi Rax, Marax
How Ephedrine, Hydroxyzine, Theophylline interacts with Spirodrene — through 5 ingredients. Tap an ingredient for the detail:
CaffeineStimulant Drugs, Theophylline +1 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Caffeine + Ephedrine, Hydroxyzine, Theophylline interactionRaspberry KetoneStimulant Drugs Moderate
Interaction Summary
Theoretically, raspberry ketone might increase the risk of adverse cardiovascular effects with stimulant drugs.
Read the full Raspberry Ketone + Ephedrine, Hydroxyzine, Theophylline interaction1,3 DimethylamylamineStimulant Drugs Moderate
Interaction Summary
1,3-DMAA is thought to have stimulant effects.
Read the full 1,3 Dimethylamylamine + Ephedrine, Hydroxyzine, 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, Hydroxyzine, Theophylline interactionTheobromineStimulant Drugs, Theophylline +1 Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Theobromine + Ephedrine, Hydroxyzine, Theophylline interactionEphedrine, Phenobarbital, Potassium Iodide, TheophyllineMudrane, Quadrinal
How Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interacts with Spirodrene — through 6 ingredients. Tap an ingredient for the detail:
CaffeinePhenobarbital (luminal), Ephedrine +2 Major
Interaction Summary
Theoretically, caffeine might reduce the effects of phenobarbital and increase the risk for convulsions.
Read the full Caffeine + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionTheobromineStimulant Drugs, Theophylline +2 Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Theobromine + 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 interaction1,3 DimethylamylamineStimulant Drugs Moderate
Interaction Summary
1,3-DMAA is thought to have stimulant effects.
Read the full 1,3 Dimethylamylamine + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionVitamin BPhenobarbital (luminal) Moderate
Interaction Summary
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Read the full Vitamin B + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionRaspberry KetoneStimulant Drugs Moderate
Interaction Summary
Theoretically, raspberry ketone might increase the risk of adverse cardiovascular effects with stimulant drugs.
Read the full Raspberry Ketone + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionEphedrine, Phenobarbital, TheophyllineTedral
How Ephedrine, Phenobarbital, Theophylline interacts with Spirodrene — through 6 ingredients. Tap an ingredient for the detail:
CaffeinePhenobarbital (luminal), Ephedrine +2 Major
Interaction Summary
Theoretically, caffeine might reduce the effects of phenobarbital and increase the risk for convulsions.
Read the full Caffeine + Ephedrine, Phenobarbital, Theophylline interactionRaspberry KetoneStimulant Drugs Moderate
Interaction Summary
Theoretically, raspberry ketone might increase the risk of adverse cardiovascular effects with stimulant drugs.
Read the full Raspberry Ketone + Ephedrine, Phenobarbital, Theophylline interactionVitamin BPhenobarbital (luminal) Moderate
Interaction Summary
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Read the full Vitamin B + Ephedrine, Phenobarbital, Theophylline interaction1,3 DimethylamylamineStimulant Drugs Moderate
Interaction Summary
1,3-DMAA is thought to have stimulant effects.
Read the full 1,3 Dimethylamylamine + 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 interactionTheobromineStimulant Drugs, Theophylline +2 Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Theobromine + Ephedrine, Phenobarbital, Theophylline interactionIsocarboxazidMarplan
How Isocarboxazid interacts with Spirodrene — through 3 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 interactionTheobromineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Theobromine + Isocarboxazid interactionCaffeineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine + Isocarboxazid interactionMoclobemideManerix, Moclobemide
How Moclobemide interacts with Spirodrene — through 3 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 interactionTheobromineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Theobromine + Moclobemide interactionCaffeineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine + Moclobemide interactionOzanimod HydrochlorideZeposia
How Ozanimod Hydrochloride interacts with Spirodrene — 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 + Ozanimod Hydrochloride interactionTheobromineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Theobromine + Ozanimod Hydrochloride interactionVitamin B3Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of niacin and hepatotoxic drugs might increase the risk of hepatotoxicity.
Read the full Vitamin B3 + Ozanimod Hydrochloride interactionCaffeineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine + Ozanimod Hydrochloride interactionKelpCytochrome P450 2c8 (cyp2c8) Substrates Minor
Interaction Summary
Theoretically, concomitant use of Fucus vesiculosus with CYP2C8 substrates might increase the risk for adverse effects.
Read the full Kelp + Ozanimod Hydrochloride interactionPhenelzine SulfateNardil
How Phenelzine Sulfate interacts with Spirodrene — through 3 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 interactionTheobromineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Theobromine + Phenelzine Sulfate interactionCaffeineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine + Phenelzine Sulfate interactionRasagilineAzilect
How Rasagiline interacts with Spirodrene — through 3 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 interactionTheobromineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Theobromine + Rasagiline interactionCaffeineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine + Rasagiline interactionSafinamide MesylateXadago
How Safinamide Mesylate interacts with Spirodrene — through 3 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 interactionCaffeineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine + Safinamide Mesylate interactionTheobromineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Theobromine + Safinamide Mesylate interactionSelegilineCarbex, Eldepryl, Emsam, Zelapar
How Selegiline interacts with Spirodrene — through 3 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 interactionCaffeineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine + Selegiline interactionTheobromineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Theobromine + Selegiline interactionTranylcypromineParnate
How Tranylcypromine interacts with Spirodrene — through 3 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 interactionTheobromineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Theobromine + Tranylcypromine interactionCaffeineMonoamine Oxidase Inhibitors (maois) Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine + Tranylcypromine interaction6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Spirodrene — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B3Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of niacin and hepatotoxic drugs might increase the risk of hepatotoxicity.
Read the full Vitamin B3 + 6-mercaptopurine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Spirodrene — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B3Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of niacin and hepatotoxic drugs might increase the risk of hepatotoxicity.
Read the full Vitamin B3 + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Spirodrene — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B3Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of niacin and hepatotoxic drugs might increase the risk of hepatotoxicity.
Read the full Vitamin B3 + Abacavir, Lamivudine interactionAbametapirXeglyze
How Abametapir interacts with Spirodrene — through 3 ingredients. Tap an ingredient for the detail:
TheobromineCytochrome P450 1a2 (cyp1a2) Inhibitors Moderate
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Theobromine + Abametapir interactionYohimbine HclCytochrome P450 3a4 (cyp3a4) Inhibitors Moderate
Interaction Summary
Theoretically, CYP3A4 inhibitors might increase the levels and adverse effects of yohimbine, a constituent of yohimbe bark.
Read the full Yohimbine Hcl + Abametapir interactionCaffeineCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Caffeine + Abametapir interactionAbciximabReoPro
How Abciximab interacts with Spirodrene — through 5 ingredients. Tap an ingredient for the detail:
TheobromineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cocoa may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Theobromine + Abciximab interactionVitamin B3Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacin may have additive effects when used with anticoagulant or antiplatelet drugs.
Read the full Vitamin B3 + Abciximab interactionCaffeineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Caffeine + Abciximab interactionYohimbine HclAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, combining yohimbe bark with antiplatelet or anticoagulant drugs might have additive effects; however, this has not been reported in clinical research.
Read the full Yohimbine Hcl + Abciximab interactionKelpAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, taking Fucus vesiculosus with antiplatelet or anticoagulant drugs might increase the risk of bruising and bleeding.
Read the full Kelp + Abciximab interactionAbiraterone
How Abiraterone interacts with Spirodrene — through 5 ingredients. Tap an ingredient for the detail:
Vitamin B3Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of niacin and hepatotoxic drugs might increase the risk of hepatotoxicity.
Read the full Vitamin B3 + Abiraterone interactionTheobromineCytochrome P450 1a2 (cyp1a2) Inhibitors Moderate
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Theobromine + Abiraterone interactionYohimbine HclCytochrome P450 2d6 (cyp2d6) Inhibitors, Cytochrome P450 3a4 (cyp3a4) Inhibitors +1 Moderate
Interaction Summary
CYP2D6 inhibitors may increase the levels and adverse effects of yohimbine, a constituent of yohimbe.
Read the full Yohimbine Hcl + Abiraterone interactionKelpCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, concomitant use of Fucus vesiculosus with CYP3A4 substrates might increase the risk for adverse effects.
Read the full Kelp + Abiraterone interactionCaffeineCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Caffeine + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Spirodrene — through 3 ingredients. Tap an ingredient for the detail:
Yohimbine HclCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Inhibitors Moderate
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Yohimbine Hcl + Abiraterone Acetate interactionVitamin B3Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of niacin and hepatotoxic drugs might increase the risk of hepatotoxicity.
Read the full Vitamin B3 + Abiraterone Acetate interactionKelpCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, concomitant use of Fucus vesiculosus with CYP3A4 substrates might increase the risk for adverse effects.
Read the full Kelp + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Spirodrene — through 5 ingredients. Tap an ingredient for the detail:
TheobromineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cocoa may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Theobromine + Abrocitinib interactionVitamin B3Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacin may have additive effects when used with anticoagulant or antiplatelet drugs.
Read the full Vitamin B3 + Abrocitinib interactionCaffeineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Caffeine + Abrocitinib interactionYohimbine HclAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, combining yohimbe bark with antiplatelet or anticoagulant drugs might have additive effects; however, this has not been reported in clinical research.
Read the full Yohimbine Hcl + Abrocitinib interactionKelpAnticoagulant/antiplatelet Drugs, Cytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, taking Fucus vesiculosus with antiplatelet or anticoagulant drugs might increase the risk of bruising and bleeding.
Read the full Kelp + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Spirodrene — through 2 ingredients. Tap an ingredient for the detail:
Vitamin B3Antidiabetes Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Niacin can increase blood glucose levels and may diminish the effects of antidiabetes drugs.
Read the full Vitamin B3 + Acarbose interactionCaffeineAntidiabetes Drugs Minor
Interaction Summary
Theoretically, taking caffeine with antidiabetes drugs might interfere with blood glucose control.
Read the full Caffeine + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Spirodrene — through 4 ingredients. Tap an ingredient for the detail:
TheobromineAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking cocoa with antihypertensive drugs might increase the risk of hypotension.
Read the full Theobromine + Acebutolol interactionYohimbine HclAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, yohimbe might reduce the effects of antihypertensive drugs.
Read the full Yohimbine Hcl + Acebutolol interactionVitamin BAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B + Acebutolol interactionVitamin B3Antihypertensive Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, niacin may increase the risk of hypotension when used with antihypertensive drugs.
Read the full Vitamin B3 + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Spirodrene — through 5 ingredients. Tap an ingredient for the detail:
Vitamin B3Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, niacin may have additive effects when used with anticoagulant or antiplatelet drugs.
Read the full Vitamin B3 + Acenocoumarol interactionTheobromineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cocoa may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Theobromine + Acenocoumarol interactionCaffeineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Caffeine + Acenocoumarol interactionYohimbine HclAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, combining yohimbe bark with antiplatelet or anticoagulant drugs might have additive effects; however, this has not been reported in clinical research.
Read the full Yohimbine Hcl + Acenocoumarol interactionKelpAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, taking Fucus vesiculosus with antiplatelet or anticoagulant drugs might increase the risk of bruising and bleeding.
Read the full Kelp + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Spirodrene — through 3 ingredients. Tap an ingredient for the detail:
Yohimbine HclPhenothiazines Moderate
Interaction Summary
Theoretically, using yohimbine with phenothiazines might have additive effects.
Read the full Yohimbine Hcl + Acepromazine interactionTheobrominePhenothiazines Minor
Interaction Summary
Theoretically, phenothiazines might increase the levels and adverse effects of caffeine.
Read the full Theobromine + Acepromazine interactionCaffeinePhenothiazines Minor
Interaction Summary
Theoretically, phenothiazines might increase the levels and adverse effects of caffeine.
Read the full Caffeine + Acepromazine interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Spirodrene — through 2 ingredients. Tap an ingredient for the detail:
Vitamin B3Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of niacin and hepatotoxic drugs might increase the risk of hepatotoxicity.
Read the full Vitamin B3 + Acetaminophen interactionYohimbine HclCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, yohimbe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Yohimbine Hcl + Acetaminophen interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Spirodrene 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.
Vitamin B3
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.
Vitamin B
Amiodarone (Cordarone)
Theoretically, vitamin B6 might increase the photosensitivity caused by amiodarone.
Despite initial case reports suggesting that pyridoxine may have a protective effect against amiodarone-induced photosensitivity, preliminary clinical research suggests that pyridoxine may actually exacerbate this adverse effect.
Antihypertensive Drugs
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Research in hypertensive rats shows that vitamin B6 can decrease systolic blood pressure. Similarly, clinical research in patients with hypertension shows that taking high doses of vitamin B6 may reduce systolic and diastolic blood pressure, possibly by reducing plasma levels of epinephrine and norepinephrine.
Phenobarbital (Luminal)
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Preliminary clinical evidence suggests that vitamin B6 200 mg daily can reduce plasma levels of phenobarbital, possibly by increasing metabolism. It is not known whether lower doses have any effect. Advise people taking phenobarbital to avoid high doses of vitamin B6.
Phenytoin (Dilantin)
High doses of vitamin B6 may reduce the levels and clinical effects of phenytoin.
Preliminary clinical evidence suggests that vitamin B6 200 mg daily can reduce plasma levels of phenytoin, possibly by increasing metabolism. It is not known whether lower doses have any effect. Advise people taking phenytoin to avoid high doses of vitamin B6.
Levodopa
Vitamin B6 may increase the metabolism of levodopa when taken alone, but not when taken in conjunction with carbidopa.
Vitamin B6 (pyridoxine) enhances the metabolism of levodopa, reducing its clinical effects. However, this interaction does not occur when carbidopa is used concurrently with levodopa (Sinemet). Therefore, it is not likely to be a problem in most people.
Vitamin B12
Metformin (Glucophage)
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals. Prolonged use of metformin can interfere with the absorption of B12 in the digestive system, potentially leading to a deficiency in this essential vitamin.
Brand information
Manufacturer and brand details for Spirodrene, from the product label.
EST Engineered Sports Technology
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- EST Engineered Sports Technology
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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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 Spirodrene’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Vitamin B12
Interacts with 20 drugsVitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very helpful for people who are deficient — su...
Read the full Vitamin B12 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 monographVitamin B6
Interacts with 210 drugsVitamin B6 (pyridoxine) is an essential water-soluble vitamin that your body needs for metabolism, brain function, and making red blood cells. It is best known for helping with pregnancy-rel...
Read the full Vitamin B6 monograph →Sources & How We Checked
Spirodrene'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 593 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.
Raspberry Ketone 4 references
- Adverse Event Report. Raspberry Ketone. Natural MedWatch, April 27, 2012.
- Adverse Event Report. Raspberry Ketone. Natural MedWatch, September 18, 2011.
- Ansari SA, Patel F, Ashouri D, Dhaliwal JSS, Desai A. Resistant Polymorphic Ventricular Tachycardia in a Patient Taking Raspberry Ketones Weight Loss Supplement. Cureus 2022;14(12):e33089. PubMed
- Khattar A, Beeton I. Coronary vasospasm and raspberry ketones weight-loss supplement: Is there a connection? Anatol J Cardiol. 2020;24(3):205-208.
Fucus Vesiculosus 15 references
- Goodman GA, Rall TW, Nies AS, Taylor P. The Pharmacological Basis of Therapeutics, 9th ed.
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press, 2002.
- Phaneuf D, Cote I, Dumas P, et al. Evaluation of the contamination of marine algae (Seaweed) from the St. Lawrence River and likely to be consumed by humans. Environ Res 1999;80:S175-S182. PubMed
- Durig J, Bruhn T, Zurborn KH, et al. Anticoagulant fucoidan fractions from Fucus vesiculosus induce platelet activation in vitro. Thromb Res 1997;85:479-91. PubMed
- Conz PA, La Greca G, Benedetti P, et al. Fucus vesiculosus: a nephrotoxic alga? Nephrol Dial Transplant 1998;13:526-7.
- Ohye H, Fukata S, Kanoh M, et al. Thyrotoxicosis caused by weight-reducing herbal medicines. Arch Intern Med 2005;165:831-4. PubMed
- Okamura K, Inoue K, Omae T. A case of Hashimoto's thyroiditis with thyroid immunological abnormality manifested after habitual ingestion of seaweed. Acta Endocrinol (Copenh) 1978;88:703-12. PubMed
- Agarwal SC, Crook JR, Pepper CB. Herbal remedies -- how safe are they? A case report of polymorphic ventricular tachycardia/ventricular fibrillation induced by herbal medication used for obesity. Int J Cardiol 2006;106:260-1. PubMed
- Sterling JB, Heymann WR. Potassium iodide in dermatology: a 19th century drug for the 21st century-uses, pharmacology, adverse effects, and contraindications. J Am Acad Dermatol 2000;43:691-7. PubMed
- Catania, M. A., Oteri, A., Caiello, P., Russo, A., Salvo, F., Giustini, E. S., Caputi, A. P., and Polimeni, G. Hemorrhagic cystitis induced by an herbal mixture. South.Med.J. 2010;103(1):90-92. PubMed
- Cumashi, A., Ushakova, N. A., Preobrazhenskaya, M. E., D'Incecco, A., Piccoli, A., Totani, L., Tinari, N., Morozevich, G. E., Berman, A. E., Bilan, M. I., Usov, A. I., Ustyuzhanina, N. E., Grachev, A. A., Sanderson, C. J., Kelly, M., Rabinovich, G. A., I
- Irhimeh, M. R., Fitton, J. H., and Lowenthal, R. M. Pilot clinical study to evaluate the anticoagulant activity of fucoidan. Blood Coagul.Fibrinolysis 2009;20(7):607-610. PubMed
- Arbaizar, B. and Llorca, J. [Fucus vesiculosus induced hyperthyroidism in a patient undergoing concomitant treatment with lithium]. Actas Esp.Psiquiatr. 2011;39(6):401-403.
- Church FC, Meade JB, Treanor RE, and et al. Antithrombin activity of fucoidan. The interaction of fucoidan with heparin cofactor II, antithrombin III, and thrombin. J Biol Chem 2-25-1989;264(6):3618-3623. DOI
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Vitamin B12 30 references
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