Standardized Soy Isoflavones Ingredients & Drug Interactions
by Nature's Way
What is this page for?
First and foremost: checking Standardized Soy Isoflavones against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Standardized Soy Isoflavones is a dietary supplement by Nature's Way with 2 active ingredients. Its ingredients are commonly taken for menopause symptoms (hot flashes), high cholesterol, bone health/osteoporosis.Based on those ingredients, 1,233 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Red Clover, Soybean extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Standardized Soy Isoflavones by Nature's Way
Ask about any prescription or over-the-counter medication and we check it for interactions with Standardized Soy Isoflavones by Nature's Way — 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 Standardized Soy Isoflavones by Nature's Way
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This product contains 2 active ingredients: red clover and soybean extract. Both are plant-derived sources of isoflavones—compounds with hormone-like activity in your body.
The capsule itself is plant-derived, and the formula also contains magnesium stearate, an inactive ingredient used as a flow agent. There are no other inactive ingredients listed.
Does it work?
Moderate evidence
The evidence we hold doesn't establish that red clover works for the conditions it's marketed for—menopausal symptoms, osteoporosis, osteoarthritis, and hair loss all carry a rating of Insufficient Reliable Evidence. Soybean extract shows more promise: the data we hold rates it possibly effective for diabetes, high cholesterol, osteoporosis, high blood pressure, and diarrhea.
That said, 'possibly effective' means the evidence is suggestive but not yet definitive, so results vary person to person.
How safe is it?
Well-documented data
Red clover is generally well tolerated short-term in healthy adults, though its estrogen-like effects warrant caution in people sensitive to hormones. The most common side effects reported orally are muscle aches, nausea, and vaginal spotting.
Because of its estrogenic activity, red clover should be avoided during pregnancy; safety data during breastfeeding is insufficient, so it's best avoided then too. There's also theoretical concern that the isoflavones might modestly increase breast density in premenopausal women, though the clinical significance is unclear.
Soybean extract is generally well tolerated, with common side effects of bloating, constipation, diarrhea, and nausea. Some people experience allergic reactions including rash and itching.
Pregnancy and lactation safety data for soybean extract isn't on file; soy foods in normal dietary amounts are commonly eaten while breastfeeding, but concentrated isoflavone supplements haven't been well studied.
Meds to double-check
Major interaction found
Before taking this, check with us if you're on monoamine oxidase inhibitors (MAOIs) for depression—that's a Major interaction. Also double-check methotrexate, estrogen therapy, tamoxifen, blood pressure medications, blood thinners (especially warfarin), diabetes drugs, diuretics, levothyroxine (thyroid hormone), or caffeine supplements.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
This product is best considered only after you've talked with your pharmacist or doctor, especially if you take any medications for depression (particularly MAOIs), blood pressure, blood clotting, diabetes, thyroid function, or cancer. People taking methotrexate, tamoxifen, or estrogen therapy should avoid it.
If you're pregnant or breastfeeding, discuss this with your provider first.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Oct 21, 2017.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Standardized Soy Isoflavones, straight from the product label.
| Brand | Nature's Way |
|---|---|
| Barcode (UPC) | 033674641002 |
| Net contents | 60 Veg. Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Oct 21, 2017 |
| DSLD ID | 80059 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegetarian, Adult Female (18 - 50 Years), Menopause, Gluten Free, Dairy Free, Sugar Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Standardized Soy Isoflavones by Nature's Way, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Red Clover | 140 mg | -- |
| Soybean extract | 100 mg | -- |
Other ingredients: plant-derived Capsule, 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.
Formula
Peri-menopause relief with soy isoflavones pytoestrogens
Peri-menopause relief with soy isoflavones pytoestrogens
40% isoflavones
Contains soy.
General Statements
Our Standardized Soy Isoflavones are carefully tested and produced to superior quality standards.
Premium extract
Precautions
Keep out of reach of children.
Safety sealed with printed outer shrinkwrap and inner seal. Do not use if either is broken or missing.
Do not use if pregnant, nursing or attempting to become pregnant. If taking any medications, consult a healthcare professional before use.
Contains soy.
Formulation
Gluten free. No sugar, salt, yeast, wheat, corn, dairy products, artificial colors, flavors or preservatives.
Vegetarian
Seals/Symbols
Vegetarian
Certified Authentic Tru-ID
General
LN64100.A01 BLK8187A
FDA Disclaimer Statement
This statement has not been evaluated by the Food & Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Recommendation: Take 1 capsule daily with food or water.
Brand IP Statement(s)
2016 Nature’s Way Brands, LLC
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Standardized Soy Isoflavones by Nature's Way 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 Standardized Soy Isoflavones by Nature's Way
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule 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.
Red Clover
Interacts with867 drugs
Red clover is a plant rich in isoflavones (plant compounds with weak estrogen-like activity) that is most often used for menopause symptoms like hot f...
Red Clover monograph & interactionsSoybean extract
Interacts with611 drugs
Soy is a nutritious bean that is a staple food and a popular source of plant protein and isoflavones. Eating soy foods as part of a balanced diet is g...
Soybean extract monograph & interactionsOther (inactive) ingredients: Plant-derived Capsule, Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.
Standardized Soy Isoflavones by Nature's Way Drug Interactions
HelloPharmacist Interaction Report
Standardized Soy Isoflavones by Nature's Way contains red clover and soybean extract, both of which interact with a number of medications.
Red clover's most serious documented interaction is with methotrexate (used for psoriasis, rheumatoid arthritis, and cancer), a Moderate-severity concern: a case report described a patient who developed severe methotrexate toxicity after taking red clover, with symptoms including severe vomiting and abdominal pain that resolved when the supplement was stopped.
Read the full breakdown — every affected drug type, severity by severity
Red clover also carries Moderate-severity interactions with estrogens (hormone replacement therapy) and tamoxifen (a breast cancer drug), because its phytoestrogens may interfere with how these medications work. It's also theoretically linked to minor interactions with several enzymes your liver uses to break down drugs (CYP1A2, CYP2C19, CYP2C9, and CYP3A4 substrates), though clinical studies of red clover at typical doses found no actual effect.
Blood thinners (anticoagulants) and antiplatelet drugs carry a minor theoretical interaction, though clinical evidence hasn't shown this occurs in practice.
Soybean extract brings its own major concern: monoamine oxidase inhibitors (MAOIs), used for depression and anxiety—fermented soy products contain tyramine, which can cause dangerous blood pressure spikes when combined with MAOIs. Soy also has Moderate-severity interactions with blood pressure medications, estrogen therapy, diabetes drugs, diuretics, caffeine, warfarin (a blood thinner), and levothyroxine (thyroid hormone).
Altogether, these interactions span 1,221 individual medications.
Use the medication checker below to look up your exact drugs before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Standardized Soy Isoflavones?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Standardized Soy Isoflavones interact with 1,233 drugs. Click any drug to see the details.
2 of the 2 ingredients in Standardized Soy Isoflavones interact with drugs. Each result below shows which ingredient is responsible. Red Clover Soybean extract
AmphetamineAdensys XR-ODT, Adzenys ER, Dyanavel XR, Mydayis
How Amphetamine interacts with Standardized Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soybean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soybean Extract + Amphetamine interactionIsocarboxazidMarplan
How Isocarboxazid interacts with Standardized Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soybean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soybean Extract + Isocarboxazid interactionMoclobemideManerix, Moclobemide
How Moclobemide interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soybean Extract + Moclobemide interactionRed CloverCytochrome P450 2c19 (cyp2c19) Substrates Minor
Interaction Summary
Theoretically, red clover might increase the levels and clinical effects of drugs metabolized by CYP2C19.
Read the full Red Clover + Moclobemide interactionOzanimod HydrochlorideZeposia
How Ozanimod Hydrochloride interacts with Standardized Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soybean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soybean Extract + Ozanimod Hydrochloride interactionPhenelzine SulfateNardil
How Phenelzine Sulfate interacts with Standardized Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soybean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soybean Extract + Phenelzine Sulfate interactionRasagilineAzilect
How Rasagiline interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soybean Extract + Rasagiline interactionRed CloverCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP1A2; however, a small clinical study found no effect.
Read the full Red Clover + Rasagiline interactionSafinamide MesylateXadago
How Safinamide Mesylate interacts with Standardized Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soybean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soybean Extract + Safinamide Mesylate interactionSelegilineCarbex, Eldepryl, Emsam, Zelapar
How Selegiline interacts with Standardized Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soybean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soybean Extract + Selegiline interactionTranylcypromineParnate
How Tranylcypromine interacts with Standardized Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soybean ExtractMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soybean Extract + Tranylcypromine interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Standardized Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soybean ExtractAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soybean Extract + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Standardized Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soybean ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically soy protein may have additive effects with antihypertensive drugs and increase the risk of hypotension.
Read the full Soybean Extract + Acebutolol interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soybean Extract + Acetaminophen, Aspirin, Caffeine interactionRed CloverAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Minor
Interaction Summary
Although some laboratory research suggests that red clover may have anticoagulant and antiplatelet activity, clinical research has not shown this effect.
Read the full Red Clover + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soybean Extract + Acetaminophen, Butalbital, Caffeine interactionRed CloverCytochrome P450 1a2 (cyp1a2) Substrates, Caffeine +1 Minor
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP1A2; however, a small clinical study found no effect.
Read the full Red Clover + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soybean Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionRed CloverCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Minor
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP3A4; however, a small clinical study found no effect.
Read the full Red Clover + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soybean Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionRed CloverCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Minor
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP1A2; however, a small clinical study found no effect.
Read the full Red Clover + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soybean Extract + Acetaminophen, Caffeine, Codeine interactionRed CloverCaffeine, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Minor
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine; however, a small clinical study found no effect.
Read the full Red Clover + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soybean Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionRed CloverCaffeine, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Minor
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine; however, a small clinical study found no effect.
Read the full Red Clover + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soybean Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionRed CloverCytochrome P450 1a2 (cyp1a2) Substrates, Caffeine +1 Minor
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP1A2; however, a small clinical study found no effect.
Read the full Red Clover + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soybean Extract + Acetaminophen, Caffeine, Isometheptene interactionRed CloverCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Minor
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP3A4; however, a small clinical study found no effect.
Read the full Red Clover + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractDiuretic Drugs, Caffeine Moderate
Interaction Summary
Theoretically, soy might have additive effects when used with diuretic drugs.
Read the full Soybean Extract + Acetaminophen, Caffeine, Pyrilamine interactionRed CloverCaffeine, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Minor
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine; however, a small clinical study found no effect.
Read the full Red Clover + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Pamabrom, PyrilamineMidol Max Strength PMS, Pamprin, Pamprin ES
How Acetaminophen, Pamabrom, Pyrilamine interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, soy might have additive effects when used with diuretic drugs.
Read the full Soybean Extract + Acetaminophen, Pamabrom, Pyrilamine interactionRed CloverCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP1A2; however, a small clinical study found no effect.
Read the full Red Clover + Acetaminophen, Pamabrom, Pyrilamine interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Standardized Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soybean ExtractDiuretic Drugs, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, soy might have additive effects when used with diuretic drugs.
Read the full Soybean Extract + Acetazolamide interactionAcetohexamideDymelor
How Acetohexamide interacts with Standardized Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soybean ExtractAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soybean Extract + Acetohexamide interactionAlbiglutideTanzeum
How Albiglutide interacts with Standardized Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soybean ExtractAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soybean Extract + Albiglutide interactionAliskirenTekturna
How Aliskiren interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically soy protein may have additive effects with antihypertensive drugs and increase the risk of hypotension.
Read the full Soybean Extract + Aliskiren interactionRed CloverCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP3A4; however, a small clinical study found no effect.
Read the full Red Clover + Aliskiren interactionAlogliptinNesina
How Alogliptin interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soybean Extract + Alogliptin interactionRed CloverCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP3A4; however, a small clinical study found no effect.
Read the full Red Clover + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with Standardized Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soybean ExtractAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soybean Extract + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soybean Extract + Alogliptin, Pioglitazone interactionRed CloverCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP3A4; however, a small clinical study found no effect.
Read the full Red Clover + Alogliptin, Pioglitazone interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with Standardized Soy Isoflavones — through 2 ingredients. Tap an ingredient for the detail:
Soybean ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically soy protein may have additive effects with antihypertensive drugs and increase the risk of hypotension.
Read the full Soybean Extract + Ambrisentan interactionRed CloverCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP3A4; however, a small clinical study found no effect.
Read the full Red Clover + Ambrisentan interactionAmilorideAmilamont, Midamor
How Amiloride interacts with Standardized Soy Isoflavones — through 1 ingredient. Tap an ingredient for the detail:
Soybean ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically soy protein may have additive effects with antihypertensive drugs and increase the risk of hypotension.
Read the full Soybean Extract + Amiloride interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Standardized Soy Isoflavones with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Red Clover
Estrogens
Theoretically, concomitant use of large amounts of red clover might interfere with estrogen therapy.
Red clover contains phytoestrogens which might have estrogenic activity in some people. Theoretically, red clover might compete for estrogen receptors and interfere with estrogen-containing drug therapy.
Methotrexate (Trexall, Others)
Theoretically, red clover might increase the risk of methotrexate toxicity.
In a case report, a 52-year-old female receiving weekly methotrexate injections for psoriasis developed symptoms of methotrexate toxicity, including severe vomiting and epigastric pain, after three days of taking red clover 430 mg daily. Toxicity resolved after red clover was discontinued. However, no liver function tests or methotrexate levels were reported.
Tamoxifen (Nolvadex)
Theoretically, the phytoestrogens in red clover might interfere with tamoxifen.
In vitro and animal research suggests that genistein, a constituent of red clover, might antagonize the antitumor effects of tamoxifen. However, there is some evidence from an animal study that red clover does not reduce the efficacy of tamoxifen. Until more is known, tell patients taking tamoxifen to avoid red clover.
Anticoagulant/Antiplatelet Drugs
Although some laboratory research suggests that red clover may have anticoagulant and antiplatelet activity, clinical research has not shown this effect.
In vitro research suggests that genistein in red clover has antiplatelet effects, and historically, red clover was thought to have anticoagulant effects due to its coumarin content. However, some experts state that this is unlikely as most natural coumarins have not been shown to have anticoagulant effects, and their content in red clover is low. Additionally, some clinical research in postmenopausal patients found no effect on coagulation or prothrombin time with the use of red clover flowering tops 378 mg daily for 12 months or red clover isoflavone (Rimostil) 50 mg daily for 2 years.
Caffeine
Theoretically, soy might reduce the clearance of caffeine; however, a small clinical study found no effect.
Red clover contains genistein. Taking genistein 1 gram daily for 14 days seems to inhibit caffeine clearance and metabolism in healthy females. However, this effect does not seem to occur with the lower amounts of genistein found in red clover. A clinical study in healthy postmenopausal individuals shows that taking red clover capsules standardized to contain 60 mg isoflavones twice daily for 14 days does not affect the pharmacokinetics of caffeine.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, red clover might increase levels of drugs metabolized by CYP1A2; however, a small clinical study found no effect.
In vitro evidence shows that red clover inhibits CYP1A2. However, a clinical study in healthy postmenopausal individuals shows that taking red clover capsules standardized to contain 60 mg isoflavones twice daily for 14 days does not affect the pharmacokinetics of caffeine, a CYP1A2 probe substrate.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, red clover might increase the levels and clinical effects of drugs metabolized by CYP2C19.
In vitro evidence suggests that red clover weakly inhibits CYP2C19. This interaction has not been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, red clover might increase levels of drugs metabolized by CYP2C9; however, a small clinical study found no effect.
In vitro evidence suggests that red clover might inhibit CYP2C9. However, a clinical study in healthy postmenopausal individuals shows that taking red clover capsules standardized to contain 60 mg isoflavones twice daily for 14 days does not affect the pharmacokinetics of tolbutamide, a CYP2C9 probe substrate.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, red clover might increase levels of drugs metabolized by CYP3A4; however, a small clinical study found no effect.
In vitro evidence shows that red clover might inhibit CYP3A4 isoenzymes. However, a clinical study in healthy postmenopausal individuals shows that taking red clover capsules standardized to contain 60 mg isoflavones twice daily for 14 days does not affect the pharmacokinetics of alprazolam, a CYP3A4 probe substrate.
Soybean extract
Monoamine Oxidase Inhibitors (Maois)
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Fermented soy products such as tofu and soy sauce contain tyramine, a naturally occurring chemical that affects blood pressure regulation. The metabolism of tyramine is decreased by MAOIs. Consuming more than 6 mg of tyramine while taking an MAOI can increase the risk of hypertensive crisis. The amount of tyramine in fermented soy products is usually less than 0.6 mg per serving; however, there can be significant variation depending on the specific product used, storage conditions, and length of storage. Storing one brand of tofu for a week can increase tyramine content from 0.23 mg to 4.8 mg per serving. Advise patients taking MAOIs to avoid fermented soy products that contain high amounts of tyramine.
Antidiabetes Drugs
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Clinical research shows that whole soy diets and soy-based meals reduce fasting glucose levels in diabetic and non-diabetic individuals. Also, individuals following a soy-based meal replacement plan seem to require lower doses of sulfonylureas and metformin to manage blood glucose levels when compared with individuals following a diet plan recommended by the American Diabetes Association.
Antihypertensive Drugs
Theoretically soy protein may have additive effects with antihypertensive drugs and increase the risk of hypotension.
Although some contradictory research exists, most clinical evidence suggests that consuming soy protein modestly reduces systolic and diastolic blood pressure in individuals with prehypertension or hypertension.
Caffeine
Theoretically, soy might reduce the clearance of caffeine.
Soy contains genistein. Taking genistein 1 gram daily for 14 days seems to inhibit caffeine clearance and metabolism in healthy females. This effect has been attributed to inhibition of the cytochrome P450 1A2 (CYP1A2) enzyme, which is involved in caffeine metabolism. It is unclear if this effect occurs with the lower amounts of genistein found in soy.
Diuretic Drugs
Theoretically, soy might have additive effects when used with diuretic drugs.
Animal research suggests that genistein, a soy isoflavone, increases diuresis within 6 hours of subcutaneous administration in rats. The effects seem to be similar to those of furosemide. This effect has not been reported in humans.
Estrogens
Theoretically, soy might competitively inhibit the effects of estrogen replacement therapy.
Soy contains phytoestrogens and has been shown to have estrogenic activity in some patients. Although this has not been demonstrated in humans, theoretically, concomitant use of soy with estrogen replacement therapy might reduce the effects of the estrogen replacement therapy.
Levothyroxine (Synthroid, Others)
Soy products might reduce the absorption of levothyroxine in some patients.
Preliminary clinical research and a case report suggest that soy-based formulas inhibit the absorption of levothyroxine in infants with congenital hypothyroidism. A levothyroxine dosage increase may be needed for infants with congenital hypothyroidism while using soy-based formulas, and the dose may need to be reduced when soy-based formulas are no longer administered. However, in postmenopausal adults, clinical research shows that taking a single dose of soy extract containing isoflavones 60 mg along with levothyroxine does not affect the oral bioavailability of levothyroxine.
Progesterone
Theoretically, combining soy isoflavones with transdermal progesterone may worsen bone density.
Clinical research suggests that significant bone loss may occur in females with osteoporosis who receive a combination of transdermal progesterone with soy milk containing isoflavones when compared with placebo, soy milk alone, or progesterone alone.
Tamoxifen (Nolvadex)
Theoretically, estrogenic soy isoflavones might alter the effects of tamoxifen.
Laboratory research suggests that genistein and daidzen, isoflavones from soy, can antagonize the antitumor effects of tamoxifen under some circumstances; however, soy isoflavones might have different effects when used at different doses. A relatively low in vitro concentration of soy isoflavones such as 1 microM/L seems to interfere with tamoxifen, whereas high in vitro concentrations such as those >10 microM/L might actually enhance tamoxifen effects. People on a high-soy diet have soy isoflavones levels ranging from 0.1-6 microM/L. Until more is known, advise patients taking tamoxifen to avoid therapeutic use of soy products.
Warfarin (Coumadin)
Theoretically, soy might interfere with the effects of warfarin.
Soy milk has been reported to decrease the international normalized ratio (INR) in a patient taking warfarin. The mechanism of this interaction is not known. However, animal and in vitro research suggests that soy may also inhibit platelet aggregation. Dosing adjustments for warfarin may be necessary.
Antibiotic Drugs
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Intestinal bacteria are responsible in part for converting soy isoflavones into their active forms. Antibiotics may decrease the amount of intestinal bacteria and decrease its ability to convert isoflavones.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Soy might modestly induce CYP2C9 enzymes. However, this effect does not seem to be clinically significant.
In vitro research suggests that an unhydrolyzed soy extract might induce CYP2C9. However, the significance of this interaction is likely minimal. In healthy females taking a specific extract of soy (Genistein Soy Complex, Source Naturals), blood levels of losartan, a CYP2C9 substrate, were not significantly affected.
Brand information
Manufacturer and brand details for Standardized Soy Isoflavones, from the product label.
Nature's Way
See all Nature's Way products- Name
- Nature's Way Brands, LLC
- City
- Green Bay
- State
- WI
- ZipCode
- 54311
- Phone Number
- 1-800-962-8873
- Web Address
- naturesway.com
Standardized Soy Isoflavones by Nature's Way: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Standardized Soy Isoflavones’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Red Clover
Interacts with 867 drugsRed clover is a plant rich in isoflavones (plant compounds with weak estrogen-like activity) that is most often used for menopause symptoms like hot flashes. The evidence is mixed and genera...
Read the full Red Clover monograph → Herb & supplement monographSoy
Interacts with 611 drugsSoy is a nutritious bean that is a staple food and a popular source of plant protein and isoflavones. Eating soy foods as part of a balanced diet is generally considered safe for most people...
Read the full Soy monograph →Sources & How We Checked
Standardized Soy Isoflavones's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 112 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.
Red Clover 24 references
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- Hidalgo LA, Chedraui PA, Morocho N, et al. The effect of red clover isoflavones on menopausal symptoms, lipids and vaginal cytology in menopausal women: a randomized, double-blind, placebo-controlled study. Gynecol Endocrinol 2005;21(5):257-264. PubMed
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- Guerrero JA, Lozano ML, Castillo J, et al. Flavonoids inhibit platelet function through binding to the thromboxane A2 receptor. J Thromb Haemost 2005;3(2):369-376. PubMed
- Kondo K, Suzuki Y, Ikeda Y, Umemura K. Genistein, an isoflavone included in soy, inhibits thrombotic vessel occlusion in the mouse femoral artery and in vitro platelet aggregation. Eur J Pharmacol 2002;455(1):53-57. PubMed
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- Hooper, L., Madhavan, G., Tice, J. A., Leinster, S. J., and Cassidy, A. Effects of isoflavones on breast density in pre- and post-menopausal women: a systematic review and meta-analysis of randomized controlled trials. Hum.Reprod.Update. 2010;16(6):745-7 PubMed
- Orr A and Parker R. Red clover causing symptoms suggestive of methotrexate toxicity in a patient on high-dose methotrexate. Menopause Int. 2013;19(3):133-134. PubMed
- Clifton-Bligh PB, et al. Red cover isoflavones enriched with formononetin lower serum LDL cholesterol- a randomized, double-blind, placebo-controlled trial. Eur J Clin Nutr. 2015;69(1):134-142.
- Risk assessment for peri- and post-menopausal women taking food supplements containing isolated isoflavones. EFSA Panel on Food Additives and Nutrient Sources added to Food (ANS). 2015. DOI
- Ferraris C, Ballestra B, Listorti C, et al. Red clover and lifestyle changes to contrast menopausal symptoms in premenopausal patients with hormone-sensitive breast cancer receiving tamoxifen. Breast Cancer Res Treat 2020;180(1):157-65. doi: 10.1007/s1054 PubMed
- Chen L, Choi J, Leonard SW, et al. No Clinically Relevant Pharmacokinetic Interactions of a Red Clover Dietary Supplement with Cytochrome P450 Enzymes in Women. J Agric Food Chem. 2020;68(47):13929-13939. PubMed
Soy 88 references
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