Synoplus Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Synoplus 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
Synoplus is a dietary supplement by NewtonEverett with 4 active ingredients. Its ingredients are commonly taken for skin hydration and aging, joint comfort and osteoarthritis, dry eyes.Based on those ingredients, 1,047 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Chinese Skullcap, Black Catechu, Glucosamine Hydrochloride. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Synoplus by NewtonEverett
Ask about any prescription or over-the-counter medication and we check it for interactions with Synoplus by NewtonEverett — 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 Synoplus by NewtonEverett
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
Partial disclosure
Synoplus contains four active ingredients. Hyaluronic acid is a natural compound used to help with dry eye and possibly venous leg ulcers (slow-healing sores from poor circulation).
Glucosamine hydrochloride is the form you'll find in joint supplements, used for osteoarthritis. Chinese skullcap (also called Baikal skullcap) is a traditional herbal ingredient, and black catechu is a plant extract used in some joint and inflammation formulas.
The tablet also contains several inactive ingredients—microcrystalline cellulose, vegetable magnesium stearate, silicon dioxide, stearic acid, vegetable coating, and titanium dioxide—which are common fillers and binders that give the tablet its form.
Does it work?
Strong evidence
The evidence for this product's ingredients is mixed. Glucosamine is likely effective for osteoarthritis, and hyaluronic acid is possibly effective for dry eye and venous leg ulcers.
For the other conditions listed in the data—aging skin, back pain, and various others—there isn't enough reliable evidence to say whether these ingredients work. Chinese skullcap and black catechu have insufficient evidence for their listed uses as well, including headache, anxiety, and exercise-induced muscle soreness.
If you're considering this product for a specific condition, talk with your pharmacist about what the science actually supports.
How safe is it?
Well-documented data
All four ingredients are generally well tolerated when taken by mouth. Hyaluronic acid and glucosamine appear well tolerated orally, though topical hyaluronic acid can occasionally cause eczema, itching, or erythema (redness).
Glucosamine's most common side effects are bloating, constipation, cramps, diarrhea, heartburn, and nausea. A small number of people have experienced allergic reactions to glucosamine, ranging from mild rashes to, rarely, anaphylaxis.
Chinese skullcap may cause abdominal pain, constipation, diarrhea, nausea, or vomiting. Black catechu has limited safety data on concentrated supplements.
Long-term safety of all these ingredients as supplements is not fully studied. During pregnancy, glucosamine and Chinese skullcap should be avoided due to insufficient safety data, while hyaluronic acid and black catechu lack clear safety information—talk with your doctor.
For breastfeeding, glucosamine and Chinese skullcap should be avoided, and black catechu's safety is unknown; hyaluronic acid has no lactation data on file.
Meds to double-check
Major interaction found
Before taking Synoplus, double-check with your pharmacist if you take warfarin (a blood thinner)—glucosamine may increase its effect and bleeding risk. Also verify your use of blood pressure medications, diabetes drugs, blood thinners or antiplatelet drugs, thyroid medications, lithium, theophylline, or any drug metabolized by liver enzymes CYP1A2 or CYP2C19, since Chinese skullcap and black catechu may interact with these.
The bottom line
Scorecard at a glancePartially disclosed formula with clinical evidence supporting its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
Synoplus may be worth considering if you have osteoarthritis or dry eye, since glucosamine and hyaluronic acid have some evidence behind them. However, you need to check your medications carefully before starting—especially if you take warfarin, blood pressure pills, diabetes drugs, or thyroid medication.
Talk with your pharmacist about your full medication list and whether this product is right for you.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 4 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated May 22, 2021.
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 Synoplus, straight from the product label.
| Brand | NewtonEverett |
|---|---|
| Barcode (UPC) | 818423027852 |
| Net contents | 100 Vegetarian Tablet(s) |
| Market status | On market |
| Date entered into DSLD | May 22, 2021 |
| DSLD ID | 248872 |
| Product type | Other Combinations |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Synoplus by NewtonEverett, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Hyaluronic Acid | 3.3 mg | -- |
| Glucosamine Hydrochloride | 1.5 Gram(s) | -- |
| Chinese Skullcap | 0 NP | -- |
| Black Catechu | 0 NP | -- |
| Synoflex Proprietary Herbal Extract | 250 mg | -- |
Other ingredients: Microcrystalline Cellulose, Vegetable Magnesium Stearate, Silicon Dioxide, Stearic Acid, Vegetable Coating, Titanium Dioxide
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.
Formulation
Joint health Protect Lubricate Nourish Joint comfort
Non-GMO Gluten free
FDA Statement of Identity
Dietary Supplement
Precautions
Contains: Shellfish (lobster, shrimp, crab).
Warning: Not for use by persons under the age of 18.
If pregnant nursing or taking a prescription drug, consult health care practitioner prior to use.
Keep out of reach of children.
Do not use if safety seal is damaged or missing.
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.
Formula
Three active ingredients in Synoplus give it a unique combination: Synofex - Deep-down joint comfort. Synoflex is a powerful, antioxidant formula that protects cartilage and joints from free radicals. This helps preserve and protect cartilage. Joint Fluid - Joint fluid (synovial) fluid is made of molecules of Hyaluronic Acid. These long and strong molecules let joint parts glide easily and smoothly. Glucosamine - Joint Builder, Glucosamine helps build, nourish, cushion, and protect cartilage.
Suggested/Recommended/Usage/Directions
Suggested Use: For best results, for the first 30 days take 2 tablets twice a day with meals (for a total of 4 tablets per day). After day 30, take 2 tablets once a day with a meal (for a total of 2 tablets per day).
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Synoplus by NewtonEverett 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 Synoplus by NewtonEverett
These are the 4 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Vegetarian Tablet(s) Dosage formTablet Or Pill Servings per container50 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.
Hyaluronic Acid
No knowninteractions
Hyaluronic acid is a natural substance in the body that helps hold water in the skin, joints, and eyes. Oral and topical products are popular for skin...
Hyaluronic Acid monograph & interactionsGlucosamine Hydrochloride
Interacts with170 drugs
Glucosamine is a natural compound found in cartilage and joint fluid, and it is one of the most popular supplements for osteoarthritis, especially of...
Glucosamine Hydrochloride monograph & interactionsSynoflex Proprietary Herbal Extract
Other (inactive) ingredients: Microcrystalline Cellulose, Vegetable Magnesium Stearate, Silicon Dioxide, Stearic Acid, Vegetable Coating, Titanium Dioxide. These complete the product’s ingredient list but are not active constituents.
Synoplus by NewtonEverett Drug Interactions
HelloPharmacist Interaction Report
Synoplus by NewtonEverett contains four active ingredients, and it does interact with a number of medications.
The most serious interaction involves glucosamine hydrochloride and warfarin (Coumadin), a blood thinner (anticoagulant). Taking them together might increase warfarin's blood-thinning effects and raise your risk of bruising and bleeding.
Case reports have shown significant increases in INR (a measure of how thin your blood is) when patients on stable warfarin doses added glucosamine.
Read the full breakdown — every affected drug type, severity by severity
Chinese skullcap and black catechu each interact with several drug classes. Chinese skullcap may affect how your body handles certain blood pressure medications (antihypertensives), diabetes drugs, blood thinners (anticoagulants and antiplatelet drugs), thyroid medications, and the mood stabilizer lithium, as well as drugs metabolized by liver enzymes CYP2C19 and CYP1A2.
Black catechu similarly affects blood pressure medications, CYP1A2 substrates, and immune-suppressing drugs, plus theophylline (a breathing medication). Glucosamine also has minor interactions with diabetes drugs and acetaminophen (Tylenol).
Hyaluronic acid, the fourth active ingredient, shows no known interactions in our data. Altogether, these interactions span 1,034 individual medications.
Please use the medication checker on this page to verify your exact prescriptions and over-the-counter drugs before you start Synoplus.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Synoplus?
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 Synoplus interact with 1,047 drugs. Click any drug to see the details.
3 of the 4 ingredients in Synoplus interact with drugs. Each result below shows which ingredient is responsible. Chinese Skullcap Black Catechu Glucosamine Hydrochloride
WarfarinWarfarin
How Warfarin interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Glucosamine HydrochlorideWarfarin (coumadin) Major
Interaction Summary
Glucosamine might increase the anticoagulant effects of warfarin and increase the risk of bruising and bleeding.
Read the full Glucosamine Hydrochloride + Warfarin interactionChinese SkullcapCytochrome P450 2c19 (cyp2c19) Substrates, Anticoagulant/antiplatelet Drugs +1 Moderate
Interaction Summary
Theoretically, Baikal skullcap might increase levels of drugs metabolized by CYP2C19 enzymes.
Read the full Chinese Skullcap + Warfarin interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Warfarin interactionWarfarin SodiumCoumadin, Panwarfin, Sofarin
How Warfarin Sodium interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Glucosamine HydrochlorideWarfarin (coumadin) Major
Interaction Summary
Glucosamine might increase the anticoagulant effects of warfarin and increase the risk of bruising and bleeding.
Read the full Glucosamine Hydrochloride + Warfarin Sodium interactionChinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs +1 Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Warfarin Sodium interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Warfarin Sodium interaction6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Synoplus — through 1 ingredient. Tap an ingredient for the detail:
Black CatechuImmunosuppressants Moderate
Interaction Summary
Theoretically, catechu might interfere with immunosuppressant therapy.
Read the full Black Catechu + 6-mercaptopurine interactionAbciximabReoPro
How Abciximab interacts with Synoplus — through 1 ingredient. Tap an ingredient for the detail:
Chinese SkullcapAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Baikal skullcap might increase the risk of bleeding when used concomitantly with anticoagulant and antiplatelet drugs.
Read the full Chinese Skullcap + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with Synoplus — through 2 ingredients. Tap an ingredient for the detail:
Chinese SkullcapAnticoagulant/antiplatelet Drugs, Cytochrome P450 2c19 (cyp2c19) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap might increase the risk of bleeding when used concomitantly with anticoagulant and antiplatelet drugs.
Read the full Chinese Skullcap + Abrocitinib interactionBlack CatechuImmunosuppressants Moderate
Interaction Summary
Theoretically, catechu might interfere with immunosuppressant therapy.
Read the full Black Catechu + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Synoplus — through 2 ingredients. Tap an ingredient for the detail:
Chinese SkullcapAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of Baikal skullcap with antidiabetes drugs might enhance blood glucose lowering effects.
Read the full Chinese Skullcap + Acarbose interactionGlucosamine HydrochlorideAntidiabetes Drugs Minor
Interaction Summary
Despite initial concerns, it is unlikely that glucosamine will interfere with the effects of antidiabetes drugs.
Read the full Glucosamine Hydrochloride + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Synoplus — through 2 ingredients. Tap an ingredient for the detail:
Chinese SkullcapAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of Baikal skullcap with antihypertensive drugs might have additive effects and increase the risk of hypotension.
Read the full Chinese Skullcap + Acebutolol interactionBlack CatechuAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use with antihypertensive drugs might increase the risk of hypotension.
Read the full Black Catechu + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Synoplus — through 1 ingredient. Tap an ingredient for the detail:
Chinese SkullcapAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Baikal skullcap might increase the risk of bleeding when used concomitantly with anticoagulant and antiplatelet drugs.
Read the full Chinese Skullcap + Acenocoumarol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Black CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen interactionChinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Chinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Aspirin interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Aspirin interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Chinese SkullcapAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap might increase the risk of bleeding when used concomitantly with anticoagulant and antiplatelet drugs.
Read the full Chinese Skullcap + Acetaminophen, Aspirin, Caffeine interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Aspirin, Caffeine interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Black CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionChinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Chinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Butalbital interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Butalbital interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Chinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Butalbital, Caffeine interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Butalbital, Caffeine interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Chinese SkullcapCns Depressants, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap might cause additive therapeutic and adverse effects when used concomitantly with drugs with sedative properties.
Read the full Chinese Skullcap + Acetaminophen, Butalbital, Caffeine, Codeine interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Butalbital, Caffeine, Codeine interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Black CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Butalbital, Codeine interactionChinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Butalbital, Codeine interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Chinese SkullcapCns Depressants, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap might cause additive therapeutic and adverse effects when used concomitantly with drugs with sedative properties.
Read the full Chinese Skullcap + Acetaminophen, Butalbital, Codeine Phosphate interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Butalbital, Codeine Phosphate interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Chinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + 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 Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Black CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Caffeine, Codeine interactionChinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Caffeine, Codeine interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Chinese SkullcapCns Depressants, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap might cause additive therapeutic and adverse effects when used concomitantly with drugs with sedative properties.
Read the full Chinese Skullcap + Acetaminophen, Caffeine, Codeine, Salicylamide interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Caffeine, Codeine, Salicylamide interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Black CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Caffeine, Dihydrocodeine interactionChinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Caffeine, Dihydrocodeine interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Chinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Caffeine, Isometheptene interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Caffeine, Isometheptene interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Black CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Caffeine, Pyrilamine interactionChinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Caffeine, Pyrilamine interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Black CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionChinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Chinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Chinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Black CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionChinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Chinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Chinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Synoplus — through 3 ingredients. Tap an ingredient for the detail:
Chinese SkullcapCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionBlack CatechuCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionGlucosamine HydrochlorideAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Hydrochloride + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Synoplus 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.
Chinese Skullcap
Anticoagulant/Antiplatelet Drugs
Theoretically, Baikal skullcap might increase the risk of bleeding when used concomitantly with anticoagulant and antiplatelet drugs.
Preliminary clinical research suggests that taking capsules containing a combination of astragalus, goldthread, and Baikal skullcap daily for 4 weeks inhibits platelet aggregation; the effect seems to be similar to that of aspirin 50 mg daily. It is unclear if this effect is due to Baikal skullcap, other ingredients, or the combination.
Antidiabetes Drugs
Theoretically, concomitant use of Baikal skullcap with antidiabetes drugs might enhance blood glucose lowering effects.
Baicalein, a constituent of Baikal skullcap, has alpha-glucosidase inhibitory activity in vitro. Animal research also suggests that Baikal skullcap enhances the antidiabetic effects of metformin. However, in a small human study, taking Baikal skullcap extract did not enhance the antidiabetic effects of metformin, although it did modestly lower glucose levels during an oral glucose tolerance test (OGTT). Until more is known, use cautiously.
Antihypertensive Drugs
Theoretically, concomitant use of Baikal skullcap with antihypertensive drugs might have additive effects and increase the risk of hypotension.
Animal research suggests that baicalein, a constituent of Baikal skullcap, might lower blood pressure.
Antithyroid Drugs
Theoretically, concomitant use of Baikal skullcap and antithyroid drugs may result in additive activity and increase the risk of hypothyroidism.
In an animal hyperthyroid model, Baikal skullcap improved levels of triiodothyronine (T3), thyroxine (T4), and thyroid stimulating hormone (TSH). The clinical significance of this effect is unclear.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
In vitro evidence suggests that constituents of Baikal skullcap inhibit the activity of CYP1A2. This effect has not been reported in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, Baikal skullcap might increase levels of drugs metabolized by CYP2C19 enzymes.
In vitro evidence suggest that wogonin, a constituent of Baikal skullcap, modestly inhibits the activity of CYP2C19 enzymes. This effect has not been reported in humans.
Estrogens
Theoretically, concomitant use of large amounts of Baikal skullcap might interfere with hormone replacement therapy, due to competition for estrogen receptors.
In vitro evidence suggests that Baikal skullcap has estrogenic activity.
Lithium
Theoretically, Baikal skullcap might reduce lithium excretion and increase serum levels of lithium.
Baikal skullcap is thought to have diuretic properties, which may reduce lithium excretion. The dose of lithium might need to be decreased.
Alcohol (Ethanol)
Theoretically, Baikal skullcap might potentiate the sedative effects of alcohol.
In vitro and animal research suggests that Baikal skullcap binds to GABA-A receptors and causes sedation. Theoretically, Baikal skullcap might potentiate the sedative effects of alcohol. Preliminary clinical research has not identified clinically relevant sedation after use of Baikal skullcap; however, a thorough evaluation of safety outcomes has not been conducted.
Cns Depressants
Theoretically, Baikal skullcap might cause additive therapeutic and adverse effects when used concomitantly with drugs with sedative properties.
In vitro and animal research suggests that Baikal skullcap binds to GABA-A receptors and causes sedation. Theoretically, Baikal skullcap might cause additive therapeutic and adverse effects when used concomitantly with drugs with sedative properties. Preliminary clinical research has not identified clinically relevant sedation after use of Baikal skullcap; however, a thorough evaluation of safety outcomes has not been conducted.
Organic Anion-Transporting Polypeptide Substrates (Oatp)
Theoretically, Baikal skullcap might alter the levels and clinical effects of OATP substrates.
Some pharmacokinetic research shows that baicalin, a constituent of Baikal skullcap, can decrease plasma levels of rosuvastatin. The mechanism is thought to involve stimulation of the activity of the organic anion-transporting polypeptide 1B1 (OATP1B1), which transports rosuvastatin into the liver. This decreases plasma levels of the drug, but increases levels at the site of action in the liver. The degree to which rosuvastatin levels are affected depends on the OATP1B1 haplotype of the individual. Baikal skullcap might also affect other OATP1B1 substrates.
P-Glycoprotein Substrates
Theoretically, Baikal skullcap might increase levels of drugs transported by P-glycoprotein.
In vitro and animal research suggests that baicalein, oroxylin A, and wogonin, constituents of Baikal skullcap, can inhibit P-glycoprotein. This effect has not been reported in humans.
Black Catechu
Antihypertensive Drugs
Theoretically, concomitant use with antihypertensive drugs might increase the risk of hypotension.
Catechu might lower blood pressure.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Animal research shows that black catechu can increase theophylline concentrations in the blood, possibly by inhibiting CYP1A2. Theophylline is a CYP1A2 substrate.
Immunosuppressants
Theoretically, catechu might interfere with immunosuppressant therapy.
Animal and in vitro studies suggest that catechu has immunomodulating effects.
Theophylline
Theoretically, black catechu may increase the levels and clinical effects of theophylline.
Animal research shows that black catechu can increase theophylline concentrations in the blood, possibly by inhibiting cytochrome P450 1A2.
Glucosamine Hydrochloride
Warfarin (Coumadin)
Glucosamine might increase the anticoagulant effects of warfarin and increase the risk of bruising and bleeding.
In two individual case reports, glucosamine/chondroitin combinations were associated with a significant increase in international normalized ratio (INR) in patients previously stabilized on warfarin. In one case, the increase in INR occurred only after tripling the dose of a glucosamine/chondroitin supplement from 500 mg/400 mg daily to 1500/1200 mg daily. Additionally, 20 voluntary case reports to the U.S. Food & Drug Administration (FDA) have linked glucosamine plus chondroitin with increased INR, bruising, and bleeding in patients who were also taking warfarin. There have also been 20 additional case reports to the World Health Organization (WHO) that link glucosamine alone to increased INR in patients taking warfarin. The mechanism of this interaction is unclear. Glucosamine is a small component of heparin, but is not thought to have anticoagulant activity; however, animal research suggests that it might have antiplatelet activity.
Topoisomerase Ii Inhibitors
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
In vitro research suggests that glucosamine might induce resistance to etoposide (VP16, VePesid) and doxorubicin (Adriamycin) by reducing inhibition of topoisomerase II, an enzyme required for DNA replication in tumor cells. This effect has not been reported in humans.
Acetaminophen (Tylenol, Others)
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Anecdotal reports suggest that adding glucosamine to an acetaminophen regimen might decrease pain control in patients with osteoarthritis. Some research suggests that the sulfate portion of glucosamine sulfate might contribute to its effect in osteoarthritis. Since acetaminophen metabolism requires sulfur and reduces serum sulfate concentrations, acetaminophen could theoretically interfere with the action of glucosamine sulfate. Conversely, the administration of sulfate could theoretically decrease the effectiveness of acetaminophen in sulfate-deficient people by increasing its clearance.
Antidiabetes Drugs
Despite initial concerns, it is unlikely that glucosamine will interfere with the effects of antidiabetes drugs.
In vitro and animal research has suggested that glucosamine might increase insulin resistance or decrease insulin production. This has raised concerns that taking glucosamine might worsen diabetes and decrease the effectiveness of diabetes drugs. However, clinical research suggests that glucosamine does not have adverse effects on blood glucose or glycated hemoglobin (HbA1C) in healthy, obese, or type 2 diabetes patients.
Brand information
Manufacturer and brand details for Synoplus, from the product label.
NewtonEverett
See all NewtonEverett products- Name
- Newton-Everett Nutraceuticals
- Street Address
- 9160 E. Bahia Dr.
- City
- Scottsdale
- State
- AZ
- ZipCode
- 85260
- Web Address
- www.newton-everett.com
Synoplus by NewtonEverett: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Synoplus 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 Synoplus’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Hyaluronic Acid
Hyaluronic acid is a natural substance in the body that helps hold water in the skin, joints, and eyes. Oral and topical products are popular for skin moisture and joint comfort, and the evi...
Read the full Hyaluronic Acid monograph → Herb & supplement monographGlucosamine
Interacts with 170 drugsGlucosamine is a natural compound found in cartilage and joint fluid, and it is one of the most popular supplements for osteoarthritis, especially of the knee. The evidence is mixed, with so...
Read the full Glucosamine monograph → Herb & supplement monographBaikal Skullcap
Interacts with 946 drugsBaikal skullcap is a traditional Chinese herb (Huang Qin) used for inflammation, allergies, and infections, with active compounds like baicalin and baicalein studied mostly in the lab. Human...
Read the full Baikal Skullcap monograph → Herb & supplement monographCatechu
Interacts with 475 drugsCatechu is an astringent extract made from the heartwood of the Acacia (Senegalia) catechu tree, used traditionally for mouth sores, sore throat, diarrhea, and minor skin problems. Strong hu...
Read the full Catechu monograph →Sources & How We Checked
Synoplus'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 105 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.
Hyaluronic Acid 4 references
- Park Y, Song JS, Choi CY, Yoon KC, Lee HK, Kim HS. A randomized multicenter study comparing 0.1%, 0.15%, and 0.3% sodium hyaluronate with 0.05% cyclosporine in the treatment of dry eye. J Ocul Pharmacol Ther. 2017;33(2):66-72. PubMed
- U.S. Food and Drug Administration. Do Not Use Needle-Free Devices for Injection of Dermal Fillers - FDA Safety Communication. October 8, 2021. Available at: https://www.fda.gov/medical-devices/safety-communications/do-not-use-needle-free-devices-injection
- Disphanurat W, Srisantithum B. Efficacy and safety of 0.15% isobutylamido thiazolyl resorcinol combined with hyaluronic acid vs 0.15% isobutylamido thiazolyl resorcinol or hyaluronic acid alone in melasma treatment: A randomized evaluator-blind trial. J C PubMed
- Humbert P, Mikosinki J, Benchikhi H, Allaert FA. Efficacy and safety of a gauze pad containing hyaluronic acid in treatment of leg ulcers of venous or mixed origin: a double-blind, randomised, controlled trial. Int Wound J 2013;10(2):159-66. PubMed
Glucosamine 58 references
- Adams ME. Hype about glucosamine. Lancet 1999;354:353-4. PubMed
- Balkan B, Dunning BE. Glucosamine inhibits glucokinase in vitro and produces a glucose-specific impairment of in vivo insulin secretion in rats. Diabetes 1994;43:1173-9. PubMed
- Giaccari A, Morviducci L, Zorretta D, et al. In vivo effects of glucosamine on insulin secretion and insulin sensitivity in the rat: possible relevance to the maladaptive responses to chronic hyperglycaemia. Diabetologia 1995;38:518-24. PubMed
- Holmang A, Nilsson C, Niklasson M, et al. Induction of insulin resistance by glucosamine reduces blood flow but not interstitial levels of either glucose or insulin. Diabetes 1999;48:106-11. PubMed
- Houpt JB, McMillan R, Wein C, Paget-Dellio SD. Effect of glucosamine hydrochloride in the treatment of pain of osteoarthritis of the knee. J Rheumatol 1999;26:2423-30.
- Barclay TS, Tsourounis C, McCart GM. Glucosamine. Ann Pharmacother 1998;32:574-9.
- Shankar RR, Zhu JS, Baron AD. Glucosamine infusion in rats mimics the beta-cell dysfunction of non-insulin-dependent diabetes mellitus. Metabolism 1998;47:573-7.
- Almada A, Harvey P, Platt K. Effects of chronic oral glucosamine sulfate on fasting insulin resistance index (FIRI) in non-diabetic individuals. FASEB J 2000;14:A750.
- Reginster JY, Deroisy R, Rovati LC, et al. Long-term effects of glucosamine sulfate on osteoarthritis progression: a randomised, placebo-controlled trial. Lancet 2001;357:251-6.
- Does glucosamine increase serum lipid levels and blood pressure? Pharmacist's Letter/Prescriber's Letter 2001;17(11):171115.
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press, 2002.
- Monauni T, Zenti MG, Cretti A, et al. Effects of glucosamine infusion on insulin secretion and insulin action in humans. Diabetes 2000;49:926-35. PubMed
- Pouwels MJ, Jacobs JR, Span PN, et al. Short-term glucosamine infusion does not affect insulin sensitivity in humans. J Clin Endocrinol Metab 2001;86:2099-103. DOI
- Yun J, Tomida A, Nagata K, Tsuruo T. Glucose-regulated stresses confer resistance to VP-16 in human cancer cells through a decreased expression of DNA topoisomerase II. Oncol Res 1995;7:583-90.
- Pavelka K, Gatterova J, Olejarova M, et al. Glucosamine sulfate use and delay of progression of knee osteoarthritis: A 3-year, randomized, placebo-controlled, double-blind study. Arch Intern Med 2002;162:2113-23. PubMed
- Tallia AF, Cardone DA. Asthma exacerbation associated with glucosamine-chondroitin supplement. J Am Board Fam Pract 2002;15:481-4..
- Scroggie DA, Albright A, Harris MD. The effect of glucosamine-chondroitin supplementation on glycosylated hemoglobin levels in patients with type 2 diabetes mellitus: a placebo-controlled, double-blinded, randomized clinical trial. Arch Intern Med 2003; PubMed
- Hoffer LJ, Kaplan LN, Hamadeh MJ, et al. Sulfate could mediate the therapeutic effect of glucosamine sulfate. Metabolism 2001;50:767-70.. PubMed
- Yu JG, Boies SM, Olefsky JM. The effect of oral glucosamine sulfate on insulin sensitivity in human subjects. Diabetes Care 2003;26:1941-2. PubMed
- Danao-Camara T. Potential side effects of treatment with glucosamine and chondroitin. Arthritis Rheum 2000;43:2853. PubMed
- Guillaume MP, Peretz A. Possible association between glucosamine treatment and renal toxicity: comment on the letter by Danao-Camara. Arthritis Rheum 2001;44:2943-4. PubMed
- Rozenfeld V, Crain JL, Callahan AK. Possible augmentation of warfarin effect by glucosamine-chondroitin. Am J Health Syst Pharm 2004;61:306-307. PubMed
- Tannis AJ, Barban J, Conquer JA. Effect of glucosamine supplementation on fasting and non-fasting plasma glucose and serum insulin concentrations in healthy individuals. Osteoarthritis Cartilage 2004;12:506-11. PubMed
- Bush TM, Rayburn KS, Holloway SW, et al. Adverse interactions between herbal and dietary substances and prescription medications: a clinical survey. Altern Ther Health Med 2007;13:30-5.
- Stumpf JL, Lin SW. Effect of glucosamine on glucose control. Ann Pharmacother 2006;40:694-8. PubMed
- Pham T, Cornea A, Blick KE, et al. Oral glucosamine in doses used to treat osteoarthritis worsens insulin resistance. Am J Med Sci 2007;333:333-9. PubMed
- Muniyappa R, Karne RJ, Hall G, et al. Oral glucosamine for 6 weeks at standard doses does not cause or worsen insulin resistance or endothelial dysfunction in lean or obese subjects. Diabetes 2006;55:3142-50. PubMed
- Knudsen J, Sokol GH. Potential glucosamine-warfarin interaction resulting in increased international normalized ratio: Case report and review of the literature and MedWatch database. Pharmacotherapy 2008;28:540-8. PubMed
- Yue QY, Strandell J, Myrberg O. Concomitant use of glucosamine potentiates the effect of warfarin. Jan 2006. Drug Safety 29(10):911-1010. DOI
- Rozendaal RM, Koes BW, van Osch GJVM, et al. Effect of glucosamine sulfate on hip osteoarthritis: A randomized trial. Ann Intern Med 2008;148:268-77. PubMed
- Baron AD, Zhu JS, Zhu JH, et al. Glucosamine induces insulin resistance in vivo by affecting GLUT 4 translocation in skeletal muscle. Implications for glucose toxicity. J Clin Invest 1995;96(6):2792-801. PubMed
- Nelson BA, Robinson KA, Buse MG. High glucose and glucosamine induce insulin resistance via different mechanisms in 3T3-L1 adipocytes. Diabetes 2000;49(6):981-91. PubMed
- Giordano N, Fioravanti A, Papakostas P, et al. The efficacy and tolerability of glucosamine sulfate in the treatment of knee osteoarthritis: a randomized, double-blind, placebo-controlled trial. Curr Ther Res Clin Exp 2009;70(3):185-196. PubMed
- Shaygannejad, V., Janghorbani, M., Savoj, M. R., and Ashtari, F. Effects of adjunct glucosamine sulfate on relapsing-remitting multiple sclerosis progression: preliminary findings of a randomized, placebo-controlled trial. Neurol Res 2010;32(9):981-985. PubMed
- Cahlin, B. J. and Dahlstrom, L. No effect of glucosamine sulfate on osteoarthritis in the temporomandibular joints--a randomized, controlled, short-term study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112(6):760-766. PubMed
- Cerda C, Bruguera M, Parés A. Hepatotoxicity associated with glucosamine and chondroitin sulfate in patients with chronic liver disease. World J Gastroenterol 2013;19(32):5381-4. PubMed
- Hochberg MC, Martel-Pelletier J, Monfort J, Möller I, Castillo JR, Arden N,Berenbaum F, Blanco FJ, Conaghan PG, Doménech G, Henrotin Y, Pap T, Richette P, Sawitzke A, du Souich P, Pelletier JP; on behalf of the MOVES Investigation Group. Combined chondroi
- von Felden J, Montani M, Kessebohm K, Stickel F. Drug-induced acute liver injury mimicking autoimmune hepatitis after intake of dietary supplements containing glucosamine and chondroitin sulfate. Int J Clin Pharmacol Ther 2013;51(3):219-23. PubMed
- Provenza JR, Shinjo SK, Silva JM, Peron CR, Rocha FA. Combined glucosamine and chondroitin sulfate, once or three times daily, provides clinically relevant analgesia in knee osteoarthritis. Clin Rheumatol 2015;34:1455-62. PubMed
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