SpiroLaze Ingredients & Drug Interactions
What is this page for?
First and foremost: checking SpiroLaze 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
SpiroLaze is a dietary supplement by Wholly Liquid with 2 active ingredients. Its ingredients are commonly taken for blood sugar control, high cholesterol, heart and metabolic health.Based on those ingredients, 1,160 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Berberine Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against SpiroLaze by Wholly Liquid
Ask about any prescription or over-the-counter medication and we check it for interactions with SpiroLaze by Wholly Liquid — 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 SpiroLaze by Wholly Liquid
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
SpiroLaze is a liquid formulation with 2 active ingredients: berberine extract and cryptolepis extract. Berberine is an alkaloid compound studied for effects on cholesterol, blood sugar, and hormonal conditions.
The product also contains inactive ingredients—purified water, vegetable glycerin, citric acid, sorbic acid, and potassium salt—that serve as the liquid base, preservative, and flavor balance.
Does it work?
Moderate evidence
The evidence we have supports berberine for several conditions. It's rated possibly effective for high cholesterol, polycystic ovary syndrome (PCOS), high blood pressure, and diabetes.
There is also possibly effective evidence for it against Helicobacter pylori bacteria. We hold no effectiveness data for cryptolepis extract in our records.
How safe is it?
Well-documented data
Taken by mouth, berberine is generally well tolerated, but digestive side effects are common—including abdominal pain, bloating, constipation, diarrhea, gas, nausea, and vomiting. Some people also report dizziness, drowsiness, fatigue, or headache.
The safety data advises against use during pregnancy because berberine may cross the placenta and has been linked to harm in newborns. It's also unsafe while breastfeeding because it passes into breast milk.
If you are pregnant, planning pregnancy, or breastfeeding, talk with your doctor or pharmacist before taking this product.
Meds to double-check
Major interaction found
Before taking SpiroLaze, check with your doctor or pharmacist if you take cyclosporine (a major interaction affecting blood levels), blood thinners or antiplatelet drugs, blood pressure medications, diabetes drugs, sedating medications, or any drug that's metabolized by the liver enzymes CYP3A4, CYP2D6, or CYP2C9—which includes many common medications. Berberine can raise the levels of drugs cleared by these pathways and increase the risk of side effects.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence behind its ingredients' uses. Major medication interactions have been identified, and safety information is well characterized.
Berberine shows promise for cholesterol, blood sugar, high blood pressure, and PCOS, but it interacts with a large number of medications—most critically with cyclosporine, blood thinners, and blood pressure drugs—and isn't safe in pregnancy or while nursing. If you take any prescription or over-the-counter medication, check it against our tool on this page before starting, and discuss the combination with your own doctor or pharmacist to be sure it's right for you.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Sep 22, 2022.
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 SpiroLaze, straight from the product label.
| Brand | Wholly Liquid |
|---|---|
| Barcode (UPC) | WLSPZE30 |
| Net contents | 1 Fluid Ounce(s); 30 mL |
| Market status | On market |
| Date entered into DSLD | Sep 22, 2022 |
| DSLD ID | 272132 |
| Product type | Other Combinations |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, Adult (18 - 50 Years), No Allergies, Gluten Free, Dairy 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 SpiroLaze by Wholly Liquid, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Berberine Extract | 300 mg | -- |
| Cryptolepis Extract | 100 mg | -- |
Other ingredients: purified Water, Vegetable Glycerin, Citric Acid, Sorbic Acid, Potassium Salt
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.
Suggested/Recommended/Usage/Directions
Suggested Use: Take 5-15 drops in 1-2 oz. of water, three times per day on an empty stomach or as directed by your healthcare professional.
Storage
Storage Instructions: Store at room temperature away from direct sunlight. Keep tightly closed. For longer shelf life, refrigerate after opening.
Precautions
Warning: Consult your healthcare professional before use if you are pregnant, nursing, taking medications, have a known medical condition, or for any use by minors.
Warning: Consult your healthcare professional before use if you are pregnant, nursing, taking medications, have a known medical condition, or for any use by minors.
Do not use if safety seal is broken or missing.
Keep out of reach of children.
For nutritional use only.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
Formulation
Made in USA
Supports the elimination of lyme bacteria
Soy free Dairy free Sugar free Gluten free
Vegan
Alcohol free Allergen free No artificial colors or sugars No synthetic fillers or binders
Brand IP Statement(s)
Supplements as good as food
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
SpiroLaze by Wholly Liquid 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 SpiroLaze by Wholly Liquid
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size5 Drop(s) Dosage formLiquid 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.
Berberine Extract
Interacts with1,160 drugs
Berberine is a yellow plant compound that has shown promise for lowering blood sugar and cholesterol in some studies, but the quality of research vari...
Berberine Extract monograph & interactionsCryptolepis Extract
Other (inactive) ingredients: Purified Water, Vegetable Glycerin, Citric Acid, Sorbic Acid, Potassium Salt. These complete the product’s ingredient list but are not active constituents.
SpiroLaze by Wholly Liquid Drug Interactions
HelloPharmacist Interaction Report
SpiroLaze by Wholly Liquid contains berberine extract, which interacts with a significant number of medications across several drug categories.
The most serious documented interaction is with cyclosporine (an immunosuppressant used after organ transplant), which berberine can cause to build up to unsafe levels in your body by slowing its metabolism.
Read the full breakdown — every affected drug type, severity by severity
Berberine also has moderate interactions with blood thinners and antiplatelet drugs (raising bleeding risk), drugs that lower blood pressure (potentially causing it to drop too far), and medications for diabetes (raising the risk of low blood sugar). Additionally, berberine inhibits several liver enzymes that break down many common drugs—including those processed by CYP3A4, CYP2D6, and CYP2C9 pathways—which means it can raise blood levels of medications metabolized that way and increase the chance of side effects.
It may also add to the sedating effects of CNS depressants like sleeping pills or anti-anxiety medications.
We could not check cryptolepis extract because we hold no interaction data for it.
Altogether, these interactions span 1,161 individual medications. Use the search tool below to look up any prescription, over-the-counter, or supplement you take before starting this product—and talk with your doctor or pharmacist about whether it's safe to combine with your specific regimen.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against SpiroLaze?
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 SpiroLaze interact with 1,160 drugs. Click any drug to see the details.
1 of the 2 ingredients in SpiroLaze interact with drugs. Each result below shows which ingredient is responsible. Berberine Extract
Amlodipine BesilateIstin
How Amlodipine Besilate interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractAntihypertensive Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might have additive effects with antihypertensive drugs.
Read the full Berberine Extract + Amlodipine Besilate interactionAmlodipine BesylateNorvasc
How Amlodipine Besylate interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractAntihypertensive Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might have additive effects with antihypertensive drugs.
Read the full Berberine Extract + Amlodipine Besylate interactionAmlodipine Besylate, BenazeprilLotrel
How Amlodipine Besylate, Benazepril interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Extract + Amlodipine Besylate, Benazepril interactionAmlodipine, CelecoxibConsensi
How Amlodipine, Celecoxib interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractAntihypertensive Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, berberine might have additive effects with antihypertensive drugs.
Read the full Berberine Extract + Amlodipine, Celecoxib interactionAmmonium ChlorideAmmonium Chloride
How Ammonium Chloride interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, berberine might have additive effects with antihypertensive drugs.
Read the full Berberine Extract + Ammonium Chloride interactionAmobarbitalAmytal
How Amobarbital interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCns Depressants Moderate
Interaction Summary
Theoretically, berberine might increase the sedative effects of CNS depressants.
Read the full Berberine Extract + Amobarbital interactionAmobarbital, Ephedrine SulfateEphedrine & Amytal
How Amobarbital, Ephedrine Sulfate interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCns Depressants Moderate
Interaction Summary
Theoretically, berberine might increase the sedative effects of CNS depressants.
Read the full Berberine Extract + Amobarbital, Ephedrine Sulfate interactionAmobarbital, SecobarbitalTuinal
How Amobarbital, Secobarbital interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCns Depressants Moderate
Interaction Summary
Theoretically, berberine might increase the sedative effects of CNS depressants.
Read the full Berberine Extract + Amobarbital, Secobarbital interactionAmoxicillin, Omeprazole Magnesium, RifabutinTalicia
How Amoxicillin, Omeprazole Magnesium, Rifabutin interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2C9.
Read the full Berberine Extract + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionAmphetamineAdensys XR-ODT, Adzenys ER, Dyanavel XR, Mydayis
How Amphetamine interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
Read the full Berberine Extract + Amphetamine interactionAmphetamine Aspartate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine SulfateAdderall, Adderall XR
How Amphetamine Aspartate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
Read the full Berberine Extract + Amphetamine Aspartate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate interactionAmphetamine SulfateBenzedrine, Evekeo ODT
How Amphetamine Sulfate interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
Read the full Berberine Extract + Amphetamine Sulfate interactionAmprenavirAgenerase
How Amprenavir interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Extract + Amprenavir interactionAnacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Extract + Anacaulase-bcdb interactionAnagrelideAgrylin
How Anagrelide interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Extract + Anagrelide interactionAnisindioneMiradon
How Anisindione interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Extract + Anisindione interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, berberine may increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Berberine Extract + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionAntithrombin IiiThrombate III
How Antithrombin Iii interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Extract + Antithrombin Iii interactionApalutamideErleada
How Apalutamide interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Extract + Apalutamide interactionApixabanEliquis
How Apixaban interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractAnticoagulant/antiplatelet Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Extract + Apixaban interactionApremilastOtezla
How Apremilast interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Extract + Apremilast interactionAprepitantCinvanti, Emend
How Aprepitant interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Extract + Aprepitant interactionAprobarbital, Butabarbital, PhenobarbitalTriple Barbital
How Aprobarbital, Butabarbital, Phenobarbital interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCns Depressants Moderate
Interaction Summary
Theoretically, berberine might increase the sedative effects of CNS depressants.
Read the full Berberine Extract + Aprobarbital, Butabarbital, Phenobarbital interactionAprocitentanTryvio
How Aprocitentan interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, berberine might have additive effects with antihypertensive drugs.
Read the full Berberine Extract + Aprocitentan interactionArgatrobanArgatroban
How Argatroban interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Extract + Argatroban interactionAripiprazoleAbilify, Abilify Maintena, Abilify Mycite
How Aripiprazole interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Extract + Aripiprazole interactionAripiprazole LauroxilAristada, Aristada Initio Kit
How Aripiprazole Lauroxil interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
Read the full Berberine Extract + Aripiprazole Lauroxil interactionArmodafinilNuvigil
How Armodafinil interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Extract + Armodafinil interactionAspirinAngettes 75, ASA, Asaphen, Aspirin, Caprin, Cartia +8 more
How Aspirin interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Extract + Aspirin interactionAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
How Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interacts with SpiroLaze — through 1 ingredient. Tap an ingredient for the detail:
Berberine ExtractAnticoagulant/antiplatelet Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Extract + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in SpiroLaze 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.
Berberine Extract
Cyclosporine (Neoral, Sandimmune)
Berberine can increase serum levels of cyclosporine.
Berberine can reduce metabolism and increase serum levels of cyclosporine. Berberine might inhibit cytochrome P450 3A4 (CYP3A4), which metabolizes cyclosporine.
Anticoagulant/Antiplatelet Drugs
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
In vitro and in vivo research suggest that berberine can inhibit platelet aggregation. Theoretically, berberine might have additive effects when used with anticoagulant and antiplatelet drugs and increase the risk of bleeding.
Antidiabetes Drugs
Theoretically, berberine may increase the risk of hypoglycemia when taken with antidiabetes drugs.
Clinical research shows that berberine may lower blood glucose levels. Theoretically, berberine might have additive effects with antidiabetes drugs and increase the risk of hypoglycemia.
Antihypertensive Drugs
Theoretically, berberine might have additive effects with antihypertensive drugs.
Animal research suggests that berberine can have hypotensive effects. Also, a clinical study suggests that taking berberine in combination with amlodipine can lower systolic and diastolic blood pressure when compared with amlodipine alone.
Cns Depressants
Theoretically, berberine might increase the sedative effects of CNS depressants.
Animal research suggests that berberine may have sedative effects. Theoretically, use of berberine along with CNS depressants might produce additive therapeutic and adverse effects.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2C9.
Preliminary clinical research shows that berberine can inhibit CYP2C9. Theoretically, taking berberine with drugs metabolized by CYP2C9 might increase drug levels and increase the risk of adverse effects.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
In vitro research and preliminary clinical evidence show that berberine can inhibit CYP2D6. Theoretically, use of berberine with drugs metabolized by CYP2D6 might increase drug levels and increase the risk of adverse effects.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
In vitro research and preliminary clinical research show that berberine moderately inhibits CYP3A4. Theoretically, use of berberine with drugs metabolized by CYP3A4 might increase drug levels and increase the risk of adverse effects.
Dextromethorphan (Robitussin Dm, Others)
Theoretically, berberine may increase serum levels of dextromethorphan.
Preliminary clinical research shows that berberine can inhibit cytochrome P450 2D6 (CYP2D6) activity and reduce the metabolism of dextromethorphan. This may increase the effects and side effects of dextromethorphan.
Losartan (Cozaar)
Berberine might reduce the therapeutic effects of losartan by decreasing its conversion to its active form.
Preliminary clinical research suggests that berberine can inhibit cytochrome P450 2C9 (CYP2C9) activity and reduce metabolism of losartan.
Metformin (Glucophage)
Theoretically, berberine might increase the therapeutic and adverse effects of metformin.
In vitro and animal studies show that berberine can increase the systemic exposure and half-life of metformin, potentially increasing metformin's effects and side effects. This interaction seems to be most apparent when berberine is administered 2 hours prior to metformin. Taking berberine and metformin at the same time does not appear to increase systemic exposure to metformin.
Midazolam (Versed)
Berberine can reduce metabolism of midazolam, which might increase the risk of severe adverse effects.
Preliminary clinical research shows that berberine can inhibit cytochrome P450 3A4 (CYP3A4) activity and reduce metabolism of midazolam.
Pentobarbital (Nembutal)
Berberine might increase the sedative effect of pentobarbital.
Evidence from animal research shows that berberine can prolong pentobarbital-induced sleeping time. Theoretically, combining berberine and pentobarbital might increase the sedative effects of pentobarbital.
Tacrolimus (Prograf)
Berberine has been associated with increased blood levels of tacrolimus.
In a 16-year-old patient with idiopathic nephrotic syndrome who was being treated with tacrolimus 6.5 mg twice daily, intake of berberine 200 mg three times daily increased the blood concentration of tacrolimus from 8 to 22 ng/mL. Following a reduction of the tacrolimus dose to 3 mg daily, blood levels of tacrolimus decreased to 12 ng/mL.
Acetazolamide
Laboratory studies and initial clinical findings suggest that berberine has the potential to increase acetazolamide concentrations in the body. More research is needed to confirm this interaction.
Brand information
Manufacturer and brand details for SpiroLaze, from the product label.
Wholly Liquid
See all Wholly Liquid products- Name
- Wholly Liquid Nutritional Supplements, LLC
- City
- Hampton
- State
- NH
- ZipCode
- 03842
- Web Address
- www.whollyliquid.com
SpiroLaze by Wholly Liquid: Common Questions
Does SpiroLaze by Wholly Liquid interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm pregnant or breastfeeding?
What side effects does berberine cause?
Does berberine really help with blood sugar and cholesterol?
Why does this interact with so many medications?
What is cryptolepis extract, and does it interact with anything?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if SpiroLaze 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 SpiroLaze’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
SpiroLaze'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 41 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.
Berberine 41 references
- Chan E. Displacement of bilirubin from albumin by berberine. Biol Neonate 1993;63:201-8. PubMed
- Janbaz KH, Gilani AH. Studies on preventive and curative effects of berberine on chemical-induced hepatotoxicity in rodents. Fitoterapia 2000;71:25-33.. PubMed
- Wu X, Li Q, Xin H, Yu A, Zhong M. Effects of berberine on the blood concentration of cyclosporin A in renal transplanted recipients: clinical and pharmacokinetic study. Eur J Clin Pharmacol 2005;61:567-72. PubMed
- Zhang Y, Li X, Zou D, et al. Treatment of type 2 diabetes and dyslipidemia with the natural plant alkaloid berberine. J Clin Endocrinol Metab 2008;93:2559-65. PubMed
- Huang XS, Yang GF, Pan YC. Effect of berberin hydrochloride on blood concentration of cyclosporine A in cardiac transplanted patients. Zhongguo Zhong Xi Yi Jie He Za Zhi 2008;28:702-4.
- Budzinski JW, Foster BC, Vandenhoek S, Arnason JT. An in vitro evaluation of human cytochrome P450 3A4 inhibition by selected commercial herbal extracts and tinctures. Phytomedicine 2000;7:273-82. PubMed
- Chatterjee P, Franklin MR. Human cytochrome p450 inhibition and metabolic-intermediate complex formation by goldenseal extract and its methylenedioxyphenyl components. Drug Metab Dispos 2003;31:1391-7. PubMed
- Marin-Neto, J. A., Maciel, B. C., Secches, A. L., and Gallo, Junior L. Cardiovascular effects of berberine in patients with severe congestive heart failure. Clin.Cardiol. 1988;11(4):253-260. PubMed
- Choudhry, V. P., Sabir, M., and Bhide, V. N. Berberine in giardiasis. Indian Pediatr. 1972;9(3):143-146.
- Shanbhag, S. M., Kulkarni, H. J., and Gaitonde, B. B. Pharmacological actions of berberine on the central nervous system. Jpn.J Pharmacol 1970;20(4):482-487. PubMed
- Wu, J. F. and Liu, T. P. [Effects of berberine on platelet aggregation and plasma levels of TXB2 and 6-keto-PGF1 alpha in rats with reversible middle cerebral artery occlusion]. Yao Xue.Xue.Bao. 1995;30(2):98-102.
- Peng, W. H., Hsieh, M. T., and Wu, C. R. Effect of long-term administration of berberine on scopolamine-induced amnesia in rats. Jpn J Pharmacol 1997;74(3):261-266. DOI
- Sharda DC. Berberine in the treatment of diarrhoea of infancy and childhood. J Indian M A 1970;54(1):22-24.
- Sabir M and Bhide NK. Study of some pharmacological actions of berberine. Ind J Physiol & Pharmac 1971;15(3):111-132.
- Tripathi YB and Shukla SD. Berberis artistata inhibits PAF induced aggregation of rabbit platelets. Phytotherapy Research 1996;10:628-630.
- Seery TM and Bieter RN. A contribution to the pharmacology of berberine. J Pharmacol Exp Ther 1940;69:64-67. DOI
- Xin, H. W., Wu, X. C., Li, Q., Yu, A. R., Zhong, M. Y., and Liu, Y. Y. The effects of berberine on the pharmacokinetics of cyclosporin A in healthy volunteers. Methods Find.Exp.Clin Pharmacol 2006;28(1):25-29.
- Zhang, Y., Li, X., Zou, D., Liu, W., Yang, J., Zhu, N., Huo, L., Wang, M., Hong, J., Wu, P., Ren, G., and Ning, G. Treatment of type 2 diabetes and dyslipidemia with the natural plant alkaloid berberine. J Clin Endocrinol.Metab 2008;93(7):2559-2565. PubMed
- Yin, J., Xing, H., and Ye, J. Efficacy of berberine in patients with type 2 diabetes mellitus. Metabolism 2008;57(5):712-717. PubMed
- Zhang, H., Wei, J., Xue, R., Wu, J. D., Zhao, W., Wang, Z. Z., Wang, S. K., Zhou, Z. X., Song, D. Q., Wang, Y. M., Pan, H. N., Kong, W. J., and Jiang, J. D. Berberine lowers blood glucose in type 2 diabetes mellitus patients through increasing insulin re
- Guo, Y., Chen, Y., Tan, Z. R., Klaassen, C. D., and Zhou, H. H. Repeated administration of berberine inhibits cytochromes P450 in humans. Eur J Clin Pharmacol 2012;68(2):213-217. PubMed
- Wei, W., Zhao, H., Wang, A., Sui, M., Liang, K., Deng, H., Ma, Y., Zhang, Y., Zhang, H., and Guan, Y. A clinical study on the short-term effect of berberine in comparison to metformin on the metabolic characteristics of women with polycystic ovary syndro
- Marazzi, G., Cacciotti, L., Pelliccia, F., Iaia, L., Volterrani, M., Caminiti, G., Sposato, B., Massaro, R., Grieco, F., and Rosano, G. Long-term effects of nutraceuticals (berberine, red yeast rice, policosanol) in elderly hypercholesterolemic patients. PubMed
- Meng, S., Wang, L. S., Huang, Z. Q., Zhou, Q., Sun, Y. G., Cao, J. T., Li, Y. G., and Wang, C. Q. Berberine ameliorates inflammation in patients with acute coronary syndrome following percutaneous coronary intervention. Clin Exp.Pharmacol Physiol 2012;39 PubMed
- Hermann, R. and von, Richter O. Clinical evidence of herbal drugs as perpetrators of pharmacokinetic drug interactions. Planta Med 2012;78(13):1458-1477. PubMed
- Chun YT, Yip TT, Lau KL, and et al. A biochemical study on the hypotensive effect of berberine in rats. Gen Pharmac 1979;10:177-182. PubMed
- Saksena HC, Tomar VN, and Soangra MR. Efficacy of a new salt of Berberine Uni-Berberine in oriental sore. Current Medical Practice 1970;14:247-252.
- Abascal K, Yarnell E. Recent clinical advances with berberine. Altern Complement Ther 2010;16(5):281-7. DOI
- Dong H, Zhao Y, Zhao L, Lu F. The effects of berberine on blood lipids: a systemic review and meta-analysis of randomized controlled trials. Planta Med 2013;79(6):437-46. PubMed
- Hou Q, Han W, Fu X. Pharmacokinetic interaction between tacrolimus and berberine in a child with idiopathic nephrotic syndrome. Eur J Clin Pharmacol 2013;69(10):1861-2. PubMed
- Lan J, Zhao Y, Dong F, et al. Meta-analysis of the effect and safety of berberine in the treatment of type 2 diabetes mellitus, hyperlipemia and hypertension. J Ethnopharmacol. 2015;161:69-81. PubMed
- Li G, Zhao M, Qiu F, Sun Y, Zhao L. Pharmacokinetic interactions and tolerability of berberine chloride with simvastatin and fenofibrate: an open-label, randomized, parallel study in healthy Chinese subjects. Drug Des Devel Ther. 2018;13:129-139. PubMed
- Ju J, Li J, Lin Q, Xu H. Efficacy and safety of berberine for dyslipidaemias: A systematic review and meta-analysis of randomized clinical trials. Phytomedicine. 2018;50:25-34. PubMed
- Xu L, Zhang Y, Xue X, et al. A phase I trial of berberine in Chinese with ulcerative colitis. Cancer Prev Res (Phila). 2020;13(1):117-26. PubMed
- Lyu Y, Zhang Y, Yang M, et al. Pharmacokinetic interactions between metformin and berberine in rats: Role of oral administration sequences and microbiota. Life Sci. 2019;235:116818. PubMed
- Chen YX, Gao QY, Zou TH, et al. Berberine versus placebo for the prevention of recurrence of colorectal adenoma: a multicentre, double-blinded, randomised controlled study. Lancet Gastroenterol Hepatol. 2020;5(3):267-75. PubMed
- Zhang J, Wang Y, Jiang H, et al. Preventive effect of berberine on postoperative atrial fibrillation. Circ Arrhythm Electrophysiol 2022;15(10):e011160. PubMed
- Blais JE, Huang X, Zhao JV. Overall and Sex-Specific Effect of Berberine for the Treatment of Dyslipidemia in Adults: A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Trials. Drugs 2023;83(5):403-427. PubMed
- Panigrahi A, Mohanty S. Efficacy and safety of HIMABERB® Berberine on glycemic control in patients with prediabetes: double-blind, placebo-controlled, and randomized pilot trial. BMC Endocr Disord 2023;23(1):190. PubMed
- Nie Q, Li M, Huang C, et al. The clinical efficacy and safety of berberine in the treatment of non-alcoholic fatty liver disease: a meta-analysis and systematic review. J Transl Med 2024;22(1):225. PubMed
- Koperska A, Moszak M, Seraszek-Jaros A, Bogdanski P, Szulinska M. Does berberine impact anthropometric, hepatic, and metabolic parameters in patients with metabolic dysfunction-associated fatty liver disease? Randomized, double-blind placebo-controlled tr
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