Synapsa Powder Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Synapsa Powder 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
Synapsa Powder is a dietary supplement by Nootropics Depot with 1 active ingredient. Its ingredients are commonly taken for memory and cognitive support, anxiety and stress, adhd symptoms.Based on those ingredients, 930 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Synapsa Bacopa monnieri extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Synapsa Powder by Nootropics Depot
Ask about any prescription or over-the-counter medication and we check it for interactions with Synapsa Powder by Nootropics Depot — 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 Synapsa Powder by Nootropics Depot
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
Synapsa Powder contains one active ingredient: bacopa monnieri extract (marketed as Synapsa). Bacopa is a plant traditionally used in Ayurvedic medicine, and the extract is standardized for its active compounds.
There are no inactive ingredients or fillers listed for this product — it's the extract alone.
Does it work?
Not established
The evidence for bacopa's effectiveness in our data is insufficient to rate across all measured outcomes: Alzheimer disease, sexual dysfunction, ADHD, back pain, cognitive function, and cognitive impairment. This means human studies haven't yet established whether it works for these conditions.
If you're considering it for a specific health goal, talk it over with your doctor or pharmacist, who can review the latest research and whether it fits your situation.
How safe is it?
Well-documented data
In studies, bacopa monnieri extract has been generally well tolerated, though quality and long-term safety data are limited. The most common side effects are gastrointestinal — abdominal cramps, diarrhea, dry mouth, headache, and nausea.
Some people have also reported drowsiness, insomnia, and vivid dreams. Gastrointestinal complaints occur in about 12% to 30% of users in trials.
There isn't enough safety information to recommend bacopa during pregnancy or while breastfeeding. If you're pregnant, trying to conceive, or nursing, talk with your doctor or pharmacist before taking this product.
Meds to double-check
Moderate interaction found
Before taking Synapsa Powder, double-check with your pharmacist or doctor if you take any medications metabolized by your liver's cytochrome P450 enzymes (CYP1A2, CYP2C9, CYP2C19, or CYP3A4 substrates) — this includes many heart, blood pressure, and psychiatric drugs. Also check if you're on anticholinergic drugs (like those for overactive bladder or motion sickness), cholinergic drugs (like those for myasthenia gravis or Alzheimer disease), cevimeline (Evoxac), or thyroid hormone.
The interaction list is extensive, so run your exact medications through the checker on this page.
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
Synapsa Powder is a single-ingredient bacopa extract that's generally well tolerated but interacts with a large number of medications, especially those processed by your liver and drugs affecting your nervous system. If you take any prescription drugs — especially for heart rhythm, blood thinning, mental health, or any chronic condition — check them against this product's interaction list with your pharmacist or doctor before starting.
The evidence for what it actually does isn't established in our data, so discuss your reason for taking it with your healthcare provider.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Aug 23, 2020.
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 Synapsa Powder, straight from the product label.
| Brand | Nootropics Depot |
|---|---|
| Net contents | 2.11 Ounce(s); 60 Gram(s) |
| Market status | On market |
| Date entered into DSLD | Aug 23, 2020 |
| DSLD ID | 232639 |
| Product type | Botanical |
| Supplement form | Powder |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Women (not pregnant or lactating) |
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 Synapsa Powder by Nootropics Depot, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Synapsa Bacopa monnieri extract | 320 mg | -- |
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
General Statements
Disclaimer: Transfer scoops are not accurate forms of measurement. A milligram scale is needed to accurately measure dosages.
Precautions
Always consult with a qualified health physician before taking any new dietary supplement.
Warning: Keep out of reach of children. Do not take this or any other supplement if under the age of 18, pregnant or nursing a baby, or if you have any known or suspected medical conditions, and/or taking prescription drug(s) or OTC medication(s).
Do not take this or any other supplement if under the age of 18, pregnant or nursing a baby, or if you have any known or suspected medical conditions, and/or taking prescription drug(s) or OTC medication(s).
FDA Disclaimer Statement
This product is not intended to diagnose, treat, cure or prevent any diseases. These statements have not been evaluated by the Food & Drug Administration.
Brand IP Statement(s)
Synapsa is a trademark of Soho Flordis International Pty Ltd., exclusively licensed in the United States to PLT Health Solutions, Inc.
Suggested/Recommended/Usage/Directions
Suggested Use: As a dietary supplement, take 320mg once daily.
Storage
Storage: Store in a cool and dry place. Keep away from direct sunlight and heat.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Synapsa Powder by Nootropics Depot 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 Synapsa Powder by Nootropics Depot
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size0.32 Gram(s) Dosage formPowder Servings per container188 Amounts shown are per serving.
Synapsa Bacopa monnieri extract
Interacts with930 drugs
Bacopa is an Ayurvedic herb most often used for memory and thinking. Some small studies suggest it may modestly help memory when taken regularly for s...
Synapsa Bacopa monnieri extract monograph & interactionsSynapsa Powder by Nootropics Depot Drug Interactions
HelloPharmacist Interaction Report
Synapsa Powder by Nootropics Depot contains bacopa monnieri extract, which interacts with a wide range of medications.
The most serious concern is with drugs metabolized by your liver's cytochrome P450 enzymes (CYP1A2, CYP2C9, CYP2C19, and CYP3A4 substrates) — bacopa may slow how your liver processes these drugs, raising their levels and side effects. Altogether, these interactions span 931 individual medications.
Read the full breakdown — every affected drug type, severity by severity
Bacopa also affects drugs that work through your nervous system. It can reduce the effectiveness of anticholinergic drugs (medications that block acetylcholine), while at the same time it may boost cholinergic drugs (those that increase acetylcholine).
There's a documented case of a patient on cevimeline (Evoxac, used for dry mouth in Sjögren syndrome) who experienced sweating, nausea, rapid heart rate, and weakness after taking bacopa — symptoms that resolved within two days.
Bacopa may also have a minor additive effect with thyroid hormone, based on animal research showing it can raise thyroxine levels. Because the list of affected medications is extensive, check your exact prescriptions with the search tool on this page before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Synapsa Powder?
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 Synapsa Powder interact with 930 drugs. Click any drug to see the details.
1 of the 1 ingredient in Synapsa Powder interact with drugs. Each result below shows which ingredient is responsible. Synapsa Bacopa monnieri extract
Acetaminophen, Pamabrom, PyrilamineMidol Max Strength PMS, Pamprin, Pamprin ES
How Acetaminophen, Pamabrom, Pyrilamine interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Anticholinergic Drugs Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP1A2 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Acetaminophen, Pamabrom, Pyrilamine interactionAcetaminophen, PentazocineTalacen
How Acetaminophen, Pentazocine interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP1A2 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Acetaminophen, Pentazocine interactionAcetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs
How Acetaminophen, Phenylephrine, Chlorpheniramine interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Anticholinergic Drugs +1 Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP1A2 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Acetaminophen, Phenylephrine, Chlorpheniramine interactionAcetaminophen, PhenylpropanolamineTetra Caps
How Acetaminophen, Phenylpropanolamine interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP1A2 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Acetaminophen, Phenylpropanolamine interactionAcetaminophen, Phenylpropanolamine, PhenyltoloxamineSinubid
How Acetaminophen, Phenylpropanolamine, Phenyltoloxamine interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP1A2 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Acetaminophen, Phenylpropanolamine, Phenyltoloxamine interactionAcetaminophen, PhenyltoloxaminePercogesic, Relagesic
How Acetaminophen, Phenyltoloxamine interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP1A2 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Acetaminophen, Phenyltoloxamine interactionAcetaminophen, Phenyltoloxamine, SalicylamideLobac
How Acetaminophen, Phenyltoloxamine, Salicylamide interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP1A2 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Acetaminophen, Phenyltoloxamine, Salicylamide interactionAcetaminophen, PropoxypheneDarvocet-N 100, Darvocet-N 50, E-Lor, Wygesic
How Acetaminophen, Propoxyphene interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP1A2 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Acetaminophen, Propoxyphene interactionAcetaminophen, PseudoephedrineChildren's Tylenol Sinus, Dristan N.D., Non-Aspirin Sinus, Ornex, Ornex-Max, Sinutab +5 more
How Acetaminophen, Pseudoephedrine interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP1A2 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Acetaminophen, Pseudoephedrine interactionAcetaminophen, Pseudoephedrine, TriprolidineActifed Plus ES
How Acetaminophen, Pseudoephedrine, Triprolidine interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP1A2 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Acetaminophen, Pseudoephedrine, Triprolidine interactionAcetylcholineMiochol-E
How Acetylcholine interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use of bacopa with other cholinergic drugs might have additive effects.
Read the full Synapsa Bacopa Monnieri Extract + Acetylcholine interactionAclidinium BromideTudorza Pressair
How Aclidinium Bromide interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use might decrease the effectiveness of both agents.
Read the full Synapsa Bacopa Monnieri Extract + Aclidinium Bromide interactionAclidinium Bromide, Formoterol Fumarate DihydrateDuaklir Pressair
How Aclidinium Bromide, Formoterol Fumarate Dihydrate interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use might decrease the effectiveness of both agents.
Read the full Synapsa Bacopa Monnieri Extract + Aclidinium Bromide, Formoterol Fumarate Dihydrate interactionAdagrasibKrazati
How Adagrasib interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Adagrasib interactionAerosphere Budesonide, Formoterol Fumarate, GlycopyrrolateBreztri
How Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 2c19 (cyp2c19) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates +1 Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP2C19 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interactionAgomelatineValdoxan
How Agomelatine interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 2c19 (cyp2c19) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates +1 Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP2C19 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Agomelatine interactionAlfentanilAlfenta
How Alfentanil interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Alfentanil interactionAlfuzosinUroxatral
How Alfuzosin interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Alfuzosin interactionAliskirenTekturna
How Aliskiren interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Aliskiren interactionAlmotriptanAlmogran, Axert
How Almotriptan interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Almotriptan interactionAlogliptinNesina
How Alogliptin interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Alogliptin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Alogliptin, Pioglitazone interactionAlpelisibPiqray
How Alpelisib interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Alpelisib interactionAlprazolamNiravam, Xanax
How Alprazolam interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Alprazolam interactionAmantadineGocovri, Osmolex ER, Symmetrel
How Amantadine interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use might decrease the effectiveness of both agents.
Read the full Synapsa Bacopa Monnieri Extract + Amantadine interactionAmbenonium ChlorideMytelase
How Ambenonium Chloride interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use of bacopa with other cholinergic drugs might have additive effects.
Read the full Synapsa Bacopa Monnieri Extract + Ambenonium Chloride interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, bacopa might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Synapsa Bacopa Monnieri Extract + Ambrisentan interactionAmifampridineRuzurgi
How Amifampridine interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use of bacopa with other cholinergic drugs might have additive effects.
Read the full Synapsa Bacopa Monnieri Extract + Amifampridine interactionAmifampridine PhosphateFirdapse
How Amifampridine Phosphate interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractCholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use of bacopa with other cholinergic drugs might have additive effects.
Read the full Synapsa Bacopa Monnieri Extract + Amifampridine Phosphate interactionAminoglutethimideCytadren
How Aminoglutethimide interacts with Synapsa Powder — through 1 ingredient. Tap an ingredient for the detail:
Synapsa Bacopa Monnieri ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use might decrease the effectiveness of both agents.
Read the full Synapsa Bacopa Monnieri Extract + Aminoglutethimide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Synapsa Powder 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.
Synapsa Bacopa monnieri extract
Anticholinergic Drugs
Theoretically, concurrent use might decrease the effectiveness of both agents.
Bacopa seems to inhibit acetylcholinesterase and might increase acetylcholine levels, which could counteract the effects of anticholinergic drugs. Similarly, anticholinergic drugs might counteract the cholinergic effects of bacopa.
Cevimeline (Evoxac)
Theoretically, bacopa might increase the effects and adverse effects of cevimeline.
In one case, a 58-year-old female taking cevimeline long-term for Sjogren syndrome experienced hyperhidrosis, malaise, nausea, and tachycardia shortly after taking a single dose of bacopa. Symptoms resolved after two days. Cevimeline is metabolized by cytochrome P450 (CYP) 2D6 and CYP3A4, and researchers theorize that bacopa may have inhibited these isoenzymes. However, it is unclear if bacopa causes clinically significant inhibition of either CYP2D6 or CYP3A4.
Cholinergic Drugs
Theoretically, concurrent use of bacopa with other cholinergic drugs might have additive effects.
Bacopa seems to inhibit acetylcholinesterase and might increase acetylcholine levels. Theoretically, this could result in additive cholinergic effects when used with cholinergic drugs.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, bacopa might increase the levels and adverse effects of CYP1A2 substrates.
Research on the effects of bacopa extracts on CYP1A2 enzymes is conflicting. Some in vitro evidence shows that bacopa extract can moderately and non-competitively inhibit CYP1A2, while other in vitro evidence suggests that any effect is unlikely to be clinically significant.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, bacopa might increase the levels and adverse effects of CYP2C19 substrates.
In vitro evidence suggests that bacopa extract can moderately and non-competitively inhibit CYP2C19 enzymes. It is not known whether this is clinically significant.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, bacopa might increase the levels and adverse effects of CYP2C9 substrates.
Research on the effect of bacopa extracts on CYP2C9 enzymes is conflicting. Some in vitro evidence suggests that bacopa extract can moderately and non-competitively inhibit CYP2C9, while other in vitro evidence suggests that any effect is unlikely to be clinically significant.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, bacopa might increase the levels and adverse effects of CYP3A4 substrates.
Research on the effects of bacopa extracts on CYP3A4 enzymes is conflicting. Some in vitro evidence suggests that bacopa extract can moderately and competitively inhibit CYP3A4, while other in vitro evidence suggests that any effect is unlikely to be clinically significant.
Thyroid Hormone
Theoretically, bacopa might have additive effects when used with thyroid hormone.
Animal research suggests that bacopa increases thyroxine (T4) levels in mice by about 40%.
Brand information
Manufacturer and brand details for Synapsa Powder, from the product label.
Nootropics Depot
See all Nootropics Depot products- Name
- Nootropics Depot
- Street Address
- 8380 S. Kyrene Rd. Ste. 110
- City
- Tempe
- State
- AZ
- ZipCode
- 85284
- Web Address
- nootropicsdepot.com
Synapsa Powder by Nootropics Depot: Common Questions
Does Synapsa Powder by Nootropics Depot interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What are the most common side effects I should expect?
Can I take this while pregnant or breastfeeding?
Does bacopa actually help with memory or focus?
Why does this interact with so many medications?
Is this product just the extract, or does it have fillers?
I take cevimeline (Evoxac). Can I use this?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Synapsa Powder is safe with your meds?
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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Synapsa Powder’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Synapsa Powder'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 12 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.
Bacopa 12 references
- Stough C, Lloyd J, Clarke J, et al. The chronic effects of an extract of Bacopa monniera (Brahmi) on cognitive function in healthy human subjects. Psychopharmacology 2001;156:481-4..
- Yadav SK, Jain AK, Tripathi SN, Gupta JP. Irritable bowel syndrome: therapeutic evaluation of indigenous drugs. Indian J Med Res 1989;90:496-503..
- Morgan A, Stevens J. Does Bacopa monnieri improve memory performance in older persons? Results of a randomized, placebo-controlled, double-blind trial. J Altern Complement Med 2010;16:753-9.
- Kar, A., Panda, S., and Bharti, S. Relative efficacy of three medicinal plant extracts in the alteration of thyroid hormone concentrations in male mice. J Ethnopharmacol. 2002;81(2):281-285. PubMed
- Mukherjee, G. D. and Dey, C. D. Clinical trial on Brahmi. I. J.Exp.Med.Sci. 1966;10(1):5-11.
- Kar A, Pandit S, Mukherjee K, Bahadur S, Mukherjee PK. Safety assessment of selected medicinal food plants used in Ayurveda through CYP450 enzyme inhibition study. J Sci Food Agric 2017;97(1):333-40. doi: 10.1002/jsfa.7739. PubMed
- Kongkeaw C, Dilokthornsakul P, Thanarangsarit P, et al. Meta-analysis of randomized controlled trials on cognitive effects of Bacopa monnieri extract. J Ethnopharmacol 2014;151(1):528-35. PubMed
- Ramasamy S, Kiew LV, Chung LY. Inhibition of human cytochrome P450 enzymes by Bacopa monnieri standardized extract and constituents. Molecules 2014;19(2):2588-601. PubMed
- Prabhakar S, Vishnu VY, Modi M, et al. Efficacy of Bacopa monnieri (Brahmi) and donepezil in Alzheimer's disease and mild cognitive impairment: a randomized double-blind parallel phase 2b study. Ann Indian Acad Neurol 2020;23(6):767-73. PubMed
- Acquarulo B, Tandon P, Macica CM. Suspected cholinergic toxicity due to cevimeline hydrochloride and Bacopa monnieri interaction: a case report. J Med Case Rep 2022;16(1):253. PubMed
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DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
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