Thermo XT Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Thermo XT 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
Thermo XT is a dietary supplement by Jacked Factory JF with 8 active ingredients. Its ingredients are commonly taken for mental alertness and reducing fatigue, improving athletic performance, headache and migraine relief.Based on those ingredients, 1,549 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Bioperine, Coleus forskohlii Extract, Rauwolscine. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Thermo XT by Jacked Factory JF
Ask about any prescription or over-the-counter medication and we check it for interactions with Thermo XT by Jacked Factory JF — 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 Thermo XT by Jacked Factory JF
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
Thermo XT contains eight active ingredients. Caffeine anhydrous and infinergy (another form of caffeine) work as stimulants to boost alertness and energy.
Bioperine (black pepper extract) is added to increase absorption of the other ingredients. L-theanine, an amino acid from green tea, is meant to support calm focus.
Rauwolscine is a stimulant compound similar to yohimbine. Capsimax is a hot pepper extract for thermogenesis (heat production).
Coleus forskohlii extract contains forskolin for supporting heart and blood vessel function. EGCG, from green tea, is included for antioxidant support.
The capsule also contains inactive ingredients (hypromellose and leucine) as binders and fillers.
Does it work?
Strong evidence
The evidence varies by ingredient and purpose. Caffeine is effective for neonatal apnea and postoperative headache, and likely effective for mental alertness and athletic performance.
For the other ingredients in this product, the evidence is less established — we hold insufficient data to rate black pepper's usefulness for allergic rhinitis, asthma, athletic performance, headache, depression, or diarrhea. L-theanine is possibly effective for cognitive function, but we lack reliable evidence for its effects on age-related cognitive decline, Alzheimer disease, or anxiety disorders.
Rauwolscine, capsicum, and coleus all show insufficient evidence in our data for their listed uses (athletic performance, obesity, sexual arousal for rauwolscine; postherpetic neuralgia and neuropathy for capsicum; heart and lung conditions for coleus).
How safe is it?
Well-documented data
Caffeine in moderate doses is generally well tolerated, but high amounts can cause serious side effects — including rare reports of stroke. Common side effects include anxiety, insomnia, jitteriness, tremors, nausea, diarrhea, and headache.
During pregnancy, high caffeine intake may carry risks; ask your doctor about safe limits. Small amounts pass into breast milk, and moderate intake is usually considered acceptable, though it can affect the baby.
Black pepper is safe as a food spice, though concentrated supplements warrant caution. Burning aftertaste and indigestion are the most common complaints.
L-theanine is generally well tolerated short-term, but long-term safety isn't well studied. The safety data advises against using it during pregnancy and while breastfeeding.
Side effects can include headache, drowsiness, and sleep changes. Rauwolscine is a potent stimulant with limited human safety data; it can affect heart rate and blood pressure and should be avoided in pregnancy and while breastfeeding.
No adverse effects have been directly reported for rauwolscine itself, but a related compound (yohimbine) has caused serious effects like seizures, loss of consciousness, and paralysis. Capsicum is generally safe in food amounts, though concentrated supplements are less well studied.
Oral use can cause burning, bloating, indigestion, gas, and diarrhea. Coleus is generally well tolerated but commonly causes gastrointestinal side effects — particularly diarrhea — and should be avoided in pregnancy and breastfeeding.
Meds to double-check
Major interaction found
Before you take Thermo XT, double-check your medications against these drug types, worst severity first: ephedrine (Major risk of serious stimulant effects); nitrates and calcium channel blockers (Major coronary risks from coleus); then Moderate concerns with blood pressure medications, seizure drugs (phenobarbital, carbamazepine, phenytoin), blood thinners (warfarin, antiplatelet drugs), heart medications (propranolol, atorvastatin, theophylline), antipsychotics (clozapine), sleep aids (pentobarbital), diabetes medications, and several others listed in the full report above. No interactions are documented for EGCG — we hold no data for it.
The bottom line
Scorecard at a glanceFully disclosed formula with clinical evidence supporting its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
Thermo XT is a multi-ingredient thermogenic with significant drug interaction potential, especially if you take heart medications, blood pressure drugs, blood thinners, seizure medications, or other stimulants. The presence of two forms of caffeine plus rauwolscine means this is a strong stimulant product — not for everyone, and definitely not to combine with ephedrine or other stimulant drugs.
Talk to your pharmacist or doctor before starting it, and bring your complete medication list to the conversation.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 7 of 8 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 22, 2023.
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 Thermo XT, straight from the product label.
| Brand | Jacked Factory JF |
|---|---|
| Barcode (UPC) | X002DHEA23 |
| Net contents | 60 Veggie Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Jun 22, 2023 |
| DSLD ID | 292143 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| 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 Thermo XT by Jacked Factory JF, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Caffeine Anhydrous | 250 mg | -- |
| Bioperine | 5 mg | -- |
| L-Theanine | 125 mg | -- |
| Rauwolscine | 1 mg | -- |
| Infinergy | 75 mg | -- |
| Capsimax | 50 mg | -- |
| EGCG | 300 mg | -- |
| Coleus forskohlii Extract | 70 mg | -- |
Other ingredients: Hypromellose, Leucine
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formula
300 mg EGCG 75 mg Infinergy 50 mg Capsimax Per Serving
Formulation
Fat Burning Agent Increase Fat Loss Suppress Appetite Enhance Focus Boost Energy
Thermo XT is an advanced thermogenic supplement featuring an unmatched profile of the most powerful natural fat-burning ingredients. Experience smooth, lasting energy, appetite control, and enhanced focus so you stay "in the zone" and train harder without the unwanted side effects of harsh stimulants. By providing clinical doses of herbal extracts, thermo xt naturally ramps up your metabolic rate and calorie expenditure so you can lose weight, train harder, targe stubborn body fat, and get a leaner physique.
FDA Statement of Identity
Dietary Supplement
Brand IP Statement(s)
Capsimax is registered licensed trademark material of omniactive health technologies BioPerine is a registered trademark of Sabinsa. Infinergy is a registered trademark of creative compounds, LLC.
General Statements
Please Recycle Container
Suggested/Recommended/Usage/Directions
Initial use: 1 Capsule 1x Daily with Meal Regular use: 1 capsule 2x Daily with Meal Experienced Use: 2 Capsules 2x Daily with Meal Directions: Initial Use: Consume 1 capsule 15 minutes before or with a meal. Regular Use: Consume 1 capsule two times per day, 15 minutes before meals or with a meal. Experienced User Use: Consume 2 capsules two times per day, 15 minutes before meals or with a meal.
Precautions
Do not take on an empty stomach. Avoid taking before bedtime and do not exceed 4 capsules in a 24 hour period. For best results, use for 60 days in combination with diet and exercise. Drink plenty of water throughout the day to avoid dehydration.
Warning: This product is only intended for healthy adults. 18 Years of age or older.
Consult a qualified healthcare professional.
Do not use if you are caffeine sensitive, pregnant or nursing a baby, have any known or suspected medical conditions, or if you are taking any prescription or OTC medications.
This product contains caffeine, do not consume with other caffeine sources. Too much caffeine may cause nervousness, sleeplessness, and occasionally, rapid heartbeat, discontinue use 2 weeks prior to surgery. Immediately discontinue use and consult physician if you experience any adverse reactions. Do not use if safety seal is broken or missing.
Keep out of reach of children.
Storage
Store in a cool, dry place.
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.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Thermo XT by Jacked Factory JF 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 Thermo XT by Jacked Factory JF
These are the 8 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container30 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Caffeine Anhydrous
Interacts with655 drugs
Caffeine is a natural stimulant found in coffee, tea, and many other plants and products. In moderate amounts it can boost alertness and reduce tiredn...
Caffeine Anhydrous monograph & interactionsBioperine
Interacts with1,019 drugs
Black pepper is a common kitchen spice that is generally safe in the amounts used in food. Its extract, piperine, is mostly added to supplements to he...
Bioperine monograph & interactionsL-Theanine
Interacts with565 drugs
Theanine (usually L-theanine) is an amino acid found naturally in tea leaves that many people take to feel calmer and less stressed without strong dro...
L-Theanine monograph & interactionsRauwolscine
Interacts with677 drugs
Rauwolscine (alpha-yohimbine) is a stimulant alkaloid closely related to yohimbine that is marketed mainly in fat-burning and pre-workout supplements....
Rauwolscine monograph & interactionsInfinergy
Interacts with655 drugs
Caffeine is a natural stimulant found in coffee, tea, and many other plants and products. In moderate amounts it can boost alertness and reduce tiredn...
Infinergy monograph & interactionsCapsimax
Interacts with239 drugs
Capsicum (chili pepper) contains capsaicin, which is best known and best studied as a topical treatment for certain types of pain. Topical capsaicin p...
Capsimax monograph & interactionsEGCG
Coleus forskohlii Extract
Interacts with915 drugs
Coleus is a plant from the mint family whose root contains a compound called forskolin, often marketed for weight loss, asthma, and heart health. Whil...
Coleus forskohlii Extract monograph & interactionsOther (inactive) ingredients: Hypromellose, Leucine. These complete the product’s ingredient list but are not active constituents.
Thermo XT by Jacked Factory JF Drug Interactions
HelloPharmacist Interaction Report
Thermo XT by Jacked Factory JF contains eight ingredients, and we've documented interactions with a substantial number of medications.
The most serious concern is with ephedrine — both caffeine anhydrous and infinergy (also caffeine) carry a Major interaction, meaning concomitant use could increase the risk of serious life-threatening stimulant effects like dangerous rises in blood pressure or heart attack.
Read the full breakdown — every affected drug type, severity by severity
Beyond ephedrine, the caffeine ingredients (present twice in this product) interact with several other drug types at Moderate severity: seizure medications (phenobarbital and carbamazepine), the antipsychotic clozapine, sleep aids like pentobarbital, stress-test medications (dipyridamole), acid reflux medication (cimetidine), antibiotics (quinolones), and the respiratory drug theophylline. Black pepper (bioperine) adds Moderate interactions with blood pressure medication (propranolol), seizure prevention (phenytoin), heart medications (atorvastatin and theophylline), HIV medication (nevirapine), TB medication (rifampin), transplant rejection medication (cyclosporine), and sleep aids (pentobarbital).
Coleus forskohlii extract brings Major interactions with heart medications — both nitrates and calcium channel blockers — plus Moderate concerns with blood pressure drugs, warfarin (a blood thinner), and drugs that depend on liver enzymes (CYP2C9 and CYP3A4 substrates). L-theanine has Moderate interaction with blood pressure medications and Minor concerns with sedatives and serotonergic drugs.
Rauwolscine carries Moderate interactions with seizure drugs, CYP2D6 substrates, blood thinners, calcium channel blockers, other stimulants, and clonidine. Capsicum (capsimax) has Moderate interactions with blood thinners, diabetes medications, theophylline, aspirin, and ciprofloxacin, plus Minor concerns with ACE inhibitors.
Altogether, these interactions span 1,533 individual medications. We could not check EGCG — we hold no data for it.
Use the medication checker on this page with your exact prescriptions before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Thermo XT?
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 Thermo XT interact with 1,549 drugs. Click any drug to see the details.
6 of the 8 ingredients in Thermo XT interact with drugs. Each result below shows which ingredient is responsible. Bioperine Coleus forskohlii Extract Rauwolscine Caffeine Anhydrous L-Theanine Capsimax
Aminophylline, Amobarbital, EphedrineAmesec
How Aminophylline, Amobarbital, Ephedrine interacts with Thermo XT — through 3 ingredients. Tap an ingredient for the detail:
InfinergyEphedrine, Stimulant Drugs Major
Interaction Summary
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Read the full Infinergy + Aminophylline, Amobarbital, Ephedrine interactionRauwolscineStimulant Drugs Moderate
Interaction Summary
Theoretically, taking rauwolscine with stimulant drugs might increase the risk of adverse stimulant effects.
Read the full Rauwolscine + Aminophylline, Amobarbital, Ephedrine interactionL-theanineCns Depressants Minor
Interaction Summary
Theoretically, theanine might have additive sedative effects when used in conjunction with CNS depressants.
Read the full L-theanine + Aminophylline, Amobarbital, Ephedrine interactionAmlodipineNorliqva
How Amlodipine interacts with Thermo XT — through 4 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractCalcium Channel Blockers, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Major
Interaction Summary
Theoretically, combining coleus with calcium channel blockers might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Amlodipine interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Amlodipine interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Amlodipine interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Amlodipine interactionAmlodipine BenzoateKaterzia
How Amlodipine Benzoate interacts with Thermo XT — through 4 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractAntihypertensive Drugs, Calcium Channel Blockers +1 Major
Interaction Summary
Theoretically, combining coleus with antihypertensive drugs might cause additive blood pressure lowering effects and increase the risk of hypotension.
Read the full Coleus Forskohlii Extract + Amlodipine Benzoate interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Amlodipine Benzoate interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Amlodipine Benzoate interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Amlodipine Benzoate interactionAmlodipine BesilateIstin
How Amlodipine Besilate interacts with Thermo XT — through 4 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractCalcium Channel Blockers, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Major
Interaction Summary
Theoretically, combining coleus with calcium channel blockers might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Amlodipine Besilate interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Amlodipine Besilate interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Amlodipine Besilate interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Amlodipine Besilate interactionAmlodipine BesylateNorvasc
How Amlodipine Besylate interacts with Thermo XT — through 4 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractCalcium Channel Blockers, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Major
Interaction Summary
Theoretically, combining coleus with calcium channel blockers might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Amlodipine Besylate interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Amlodipine Besylate interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Amlodipine Besylate interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Amlodipine Besylate interactionAmlodipine Besylate, BenazeprilLotrel
How Amlodipine Besylate, Benazepril interacts with Thermo XT — through 5 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractAntihypertensive Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Major
Interaction Summary
Theoretically, combining coleus with antihypertensive drugs might cause additive blood pressure lowering effects and increase the risk of hypotension.
Read the full Coleus Forskohlii Extract + Amlodipine Besylate, Benazepril interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Amlodipine Besylate, Benazepril interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Amlodipine Besylate, Benazepril interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Amlodipine Besylate, Benazepril interactionCapsimaxAce Inhibitors (aceis) Minor
Interaction Summary
Theoretically, using topical capsaicin may increase the risk of ACE inhibitor-induced cough.
Read the full Capsimax + Amlodipine Besylate, Benazepril interactionAmlodipine, CelecoxibConsensi
How Amlodipine, Celecoxib interacts with Thermo XT — through 4 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Calcium Channel Blockers +2 Major
Interaction Summary
Theoretically, taking coleus might decrease serum levels of drugs metabolized by CYP3A4.
Read the full Coleus Forskohlii Extract + Amlodipine, Celecoxib interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Amlodipine, Celecoxib interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Amlodipine, Celecoxib interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Amlodipine, Celecoxib interactionBepridilVascor
How Bepridil interacts with Thermo XT — through 3 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Calcium Channel Blockers Major
Interaction Summary
Theoretically, taking coleus might decrease serum levels of drugs metabolized by CYP3A4.
Read the full Coleus Forskohlii Extract + Bepridil interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Bepridil interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Bepridil interactionCarbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine TannateQuadratuss, Ry Tuss, Rynatuss, Tri Tannate Plus
How Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interacts with Thermo XT — through 5 ingredients. Tap an ingredient for the detail:
InfinergyStimulant Drugs, Ephedrine Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Infinergy + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionColeus Forskohlii ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking coleus might decrease serum levels of drugs metabolized by CYP3A4.
Read the full Coleus Forskohlii Extract + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionRauwolscineSeizure Threshold Lowering Drugs, Stimulant Drugs Moderate
Interaction Summary
Theoretically, taking rauwolscine with seizure threshold lowering drugs might increase the risk of adverse convulsant effects.
Read the full Rauwolscine + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionL-theanineSerotonergic Drugs Minor
Interaction Summary
Clinical studies regarding the effects of L-theanine on serotonin levels are conflicting.
Read the full L-theanine + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionDiltiazemAdizem-SR, Adizem-XL, Angitil SR, Angitil XL, Calcicard CR, Cardizem +23 more
How Diltiazem interacts with Thermo XT — through 5 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractCalcium Channel Blockers, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Major
Interaction Summary
Theoretically, combining coleus with calcium channel blockers might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Diltiazem interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Diltiazem interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Diltiazem interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates, P-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Diltiazem interactionInfinergyCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Infinergy + Diltiazem interactionDiltiazem, EnalaprilTeczem
How Diltiazem, Enalapril interacts with Thermo XT — through 6 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractCalcium Channel Blockers, Antihypertensive Drugs +1 Major
Interaction Summary
Theoretically, combining coleus with calcium channel blockers might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Diltiazem, Enalapril interactionBioperineP-glycoprotein Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of P-glycoprotein substrates.
Read the full Bioperine + Diltiazem, Enalapril interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Diltiazem, Enalapril interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Diltiazem, Enalapril interactionCapsimaxAce Inhibitors (aceis) Minor
Interaction Summary
Theoretically, using topical capsaicin may increase the risk of ACE inhibitor-induced cough.
Read the full Capsimax + Diltiazem, Enalapril interactionInfinergyCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Infinergy + Diltiazem, Enalapril interactionDyphylline, Ephedrine, Guaifenesin, PhenobarbitalLufyllin-EPG
How Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interacts with Thermo XT — through 3 ingredients. Tap an ingredient for the detail:
InfinergyPhenobarbital (luminal), Ephedrine +1 Major
Interaction Summary
Theoretically, caffeine might reduce the effects of phenobarbital and increase the risk for convulsions.
Read the full Infinergy + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionRauwolscineStimulant Drugs Moderate
Interaction Summary
Theoretically, taking rauwolscine with stimulant drugs might increase the risk of adverse stimulant effects.
Read the full Rauwolscine + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionL-theanineCns Depressants Minor
Interaction Summary
Theoretically, theanine might have additive sedative effects when used in conjunction with CNS depressants.
Read the full L-theanine + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionEnalapril Maleate, FelodipineLexxel
How Enalapril Maleate, Felodipine interacts with Thermo XT — through 5 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractCalcium Channel Blockers, Antihypertensive Drugs +1 Major
Interaction Summary
Theoretically, combining coleus with calcium channel blockers might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Enalapril Maleate, Felodipine interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Enalapril Maleate, Felodipine interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Enalapril Maleate, Felodipine interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Enalapril Maleate, Felodipine interactionCapsimaxAce Inhibitors (aceis) Minor
Interaction Summary
Theoretically, using topical capsaicin may increase the risk of ACE inhibitor-induced cough.
Read the full Capsimax + Enalapril Maleate, Felodipine interactionEphedrine, Guaifenesin (otc Drug)Ephedrine Formula 400, Ephedrine Plus Tabs
How Ephedrine, Guaifenesin (otc Drug) interacts with Thermo XT — through 2 ingredients. Tap an ingredient for the detail:
InfinergyEphedrine, Stimulant Drugs Major
Interaction Summary
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Read the full Infinergy + Ephedrine, Guaifenesin (otc Drug) interactionRauwolscineStimulant Drugs Moderate
Interaction Summary
Theoretically, taking rauwolscine with stimulant drugs might increase the risk of adverse stimulant effects.
Read the full Rauwolscine + Ephedrine, Guaifenesin (otc Drug) interactionEphedrine, Guaifenesin, Phenobarbital, TheophyllineMudrane GG
How Ephedrine, Guaifenesin, Phenobarbital, Theophylline interacts with Thermo XT — through 5 ingredients. Tap an ingredient for the detail:
InfinergyStimulant Drugs, Theophylline +2 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Infinergy + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionCapsimaxTheophylline Moderate
Interaction Summary
Theoretically, taking capsicum with theophylline might increase the levels and adverse effects of theophylline.
Read the full Capsimax + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionBioperineTheophylline, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Black pepper might increase blood levels of theophylline.
Read the full Bioperine + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionRauwolscineStimulant Drugs, Seizure Threshold Lowering Drugs Moderate
Interaction Summary
Theoretically, taking rauwolscine with stimulant drugs might increase the risk of adverse stimulant effects.
Read the full Rauwolscine + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionL-theanineCns Depressants Minor
Interaction Summary
Theoretically, theanine might have additive sedative effects when used in conjunction with CNS depressants.
Read the full L-theanine + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionEphedrine, Hydroxyzine, TheophyllineAmi Rax, Marax
How Ephedrine, Hydroxyzine, Theophylline interacts with Thermo XT — through 4 ingredients. Tap an ingredient for the detail:
InfinergyEphedrine, Stimulant Drugs +1 Major
Interaction Summary
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Read the full Infinergy + Ephedrine, Hydroxyzine, Theophylline interactionRauwolscineSeizure Threshold Lowering Drugs, Stimulant Drugs Moderate
Interaction Summary
Theoretically, taking rauwolscine with seizure threshold lowering drugs might increase the risk of adverse convulsant effects.
Read the full Rauwolscine + Ephedrine, Hydroxyzine, Theophylline interactionCapsimaxTheophylline Moderate
Interaction Summary
Theoretically, taking capsicum with theophylline might increase the levels and adverse effects of theophylline.
Read the full Capsimax + Ephedrine, Hydroxyzine, Theophylline interactionBioperineTheophylline, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Black pepper might increase blood levels of theophylline.
Read the full Bioperine + Ephedrine, Hydroxyzine, Theophylline interactionEphedrine, Phenobarbital, Potassium Iodide, TheophyllineMudrane, Quadrinal
How Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interacts with Thermo XT — through 5 ingredients. Tap an ingredient for the detail:
InfinergyPhenobarbital (luminal), Ephedrine +2 Major
Interaction Summary
Theoretically, caffeine might reduce the effects of phenobarbital and increase the risk for convulsions.
Read the full Infinergy + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionBioperineTheophylline Moderate
Interaction Summary
Black pepper might increase blood levels of theophylline.
Read the full Bioperine + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionRauwolscineStimulant Drugs, Seizure Threshold Lowering Drugs Moderate
Interaction Summary
Theoretically, taking rauwolscine with stimulant drugs might increase the risk of adverse stimulant effects.
Read the full Rauwolscine + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionCapsimaxTheophylline Moderate
Interaction Summary
Theoretically, taking capsicum with theophylline might increase the levels and adverse effects of theophylline.
Read the full Capsimax + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionL-theanineCns Depressants Minor
Interaction Summary
Theoretically, theanine might have additive sedative effects when used in conjunction with CNS depressants.
Read the full L-theanine + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionEphedrine, Phenobarbital, TheophyllineTedral
How Ephedrine, Phenobarbital, Theophylline interacts with Thermo XT — through 5 ingredients. Tap an ingredient for the detail:
InfinergyStimulant Drugs, Theophylline +2 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Infinergy + Ephedrine, Phenobarbital, Theophylline interactionCapsimaxTheophylline Moderate
Interaction Summary
Theoretically, taking capsicum with theophylline might increase the levels and adverse effects of theophylline.
Read the full Capsimax + Ephedrine, Phenobarbital, Theophylline interactionBioperineTheophylline Moderate
Interaction Summary
Black pepper might increase blood levels of theophylline.
Read the full Bioperine + Ephedrine, Phenobarbital, Theophylline interactionRauwolscineSeizure Threshold Lowering Drugs, Stimulant Drugs Moderate
Interaction Summary
Theoretically, taking rauwolscine with seizure threshold lowering drugs might increase the risk of adverse convulsant effects.
Read the full Rauwolscine + Ephedrine, Phenobarbital, Theophylline interactionL-theanineCns Depressants Minor
Interaction Summary
Theoretically, theanine might have additive sedative effects when used in conjunction with CNS depressants.
Read the full L-theanine + Ephedrine, Phenobarbital, Theophylline interactionFelodipinePlendil, Renedil
How Felodipine interacts with Thermo XT — through 4 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractCalcium Channel Blockers, Antihypertensive Drugs +1 Major
Interaction Summary
Theoretically, combining coleus with calcium channel blockers might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Felodipine interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Felodipine interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Felodipine interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Felodipine interactionGlyceryl TrinitrateNitronal
How Glyceryl Trinitrate interacts with Thermo XT — through 1 ingredient. Tap an ingredient for the detail:
Coleus Forskohlii ExtractNitrates Major
Interaction Summary
Theoretically, combining coleus with nitrates might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Glyceryl Trinitrate interactionIsosorbide DinitrateAngitak, Cedocard Retard, Isoket, Isoket Retard, Isordil
How Isosorbide Dinitrate interacts with Thermo XT — through 1 ingredient. Tap an ingredient for the detail:
Coleus Forskohlii ExtractNitrates Major
Interaction Summary
Theoretically, combining coleus with nitrates might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Isosorbide Dinitrate interactionIsosorbide Dinitrate, HydralazineBiDil
How Isosorbide Dinitrate, Hydralazine interacts with Thermo XT — through 2 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractNitrates, Antihypertensive Drugs Major
Interaction Summary
Theoretically, combining coleus with nitrates might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Isosorbide Dinitrate, Hydralazine interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Isosorbide Dinitrate, Hydralazine interactionIsosorbide MononitrateAngeze, Angeze SR, Chemydur 60XL, Dynamin, Elantan, Elantan LA +13 more
How Isosorbide Mononitrate interacts with Thermo XT — through 1 ingredient. Tap an ingredient for the detail:
Coleus Forskohlii ExtractNitrates Major
Interaction Summary
Theoretically, combining coleus with nitrates might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Isosorbide Mononitrate interactionIsradipineDynacirc CR
How Isradipine interacts with Thermo XT — through 4 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractAntihypertensive Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Major
Interaction Summary
Theoretically, combining coleus with antihypertensive drugs might cause additive blood pressure lowering effects and increase the risk of hypotension.
Read the full Coleus Forskohlii Extract + Isradipine interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Isradipine interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Isradipine interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Isradipine interactionLercanidipine HydrochlorideZanidip
How Lercanidipine Hydrochloride interacts with Thermo XT — through 4 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractAntihypertensive Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Major
Interaction Summary
Theoretically, combining coleus with antihypertensive drugs might cause additive blood pressure lowering effects and increase the risk of hypotension.
Read the full Coleus Forskohlii Extract + Lercanidipine Hydrochloride interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Lercanidipine Hydrochloride interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Lercanidipine Hydrochloride interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Lercanidipine Hydrochloride interactionLevamlodipineConjupri
How Levamlodipine interacts with Thermo XT — through 4 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractAntihypertensive Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Major
Interaction Summary
Theoretically, combining coleus with antihypertensive drugs might cause additive blood pressure lowering effects and increase the risk of hypotension.
Read the full Coleus Forskohlii Extract + Levamlodipine interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Levamlodipine interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Levamlodipine interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Levamlodipine interactionNicardipineCardene, Cardene IV, Cardene SR
How Nicardipine interacts with Thermo XT — through 4 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractCalcium Channel Blockers, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Major
Interaction Summary
Theoretically, combining coleus with calcium channel blockers might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Nicardipine interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Nicardipine interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Nicardipine interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Nicardipine interactionNicorandilAprior, Dancor, Ikorel, Sigmart, Zynicor
How Nicorandil interacts with Thermo XT — through 1 ingredient. Tap an ingredient for the detail:
Coleus Forskohlii ExtractNitrates Major
Interaction Summary
Theoretically, combining coleus with nitrates might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Nicorandil interactionNifedipineAdalat, Adalat CC, Adalat LA, Adalat PA, Adalat Retard, Adalat XL +15 more
How Nifedipine interacts with Thermo XT — through 4 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractCalcium Channel Blockers, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Major
Interaction Summary
Theoretically, combining coleus with calcium channel blockers might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Nifedipine interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Nifedipine interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Nifedipine interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Nifedipine interactionNisoldipineSular
How Nisoldipine interacts with Thermo XT — through 4 ingredients. Tap an ingredient for the detail:
Coleus Forskohlii ExtractCalcium Channel Blockers, Antihypertensive Drugs +1 Major
Interaction Summary
Theoretically, combining coleus with calcium channel blockers might increase the coronary vasodilatory effects.
Read the full Coleus Forskohlii Extract + Nisoldipine interactionRauwolscineCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
Read the full Rauwolscine + Nisoldipine interactionL-theanineAntihypertensive Drugs Moderate
Interaction Summary
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Read the full L-theanine + Nisoldipine interactionBioperineCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
Read the full Bioperine + Nisoldipine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Thermo XT 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.
Bioperine
Anticoagulant/Antiplatelet Drugs
Theoretically, black pepper might increase the risk of bleeding when taken with antiplatelet or anticoagulant drugs.
In vitro research shows that piperine, a constituent of black pepper, seems to inhibit platelet aggregation. This has not been reported in humans.
Antidiabetes Drugs
Theoretically, black pepper might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Animal research shows that piperine, a constituent of black pepper, can reduce blood glucose levels. Monitor blood glucose levels closely. Dose adjustments might be necessary.
Atorvastatin (Lipitor)
Theoretically, black pepper might increase blood levels of atorvastatin.
Animal research shows that taking piperine, a constituent of black pepper, 35 mg/kg can increase the maximum serum concentration of atorvastatin three-fold. This has not been reported in humans.
Cyclosporine (Neoral, Sandimmune)
Theoretically, black pepper might increase the effects and side effects of cyclosporine.
In vitro research shows that piperine, a constituent of black pepper, increases the bioavailability of cyclosporine. This has not been reported in humans.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, black pepper might increase levels of drugs metabolized by CYP2D6.
In vitro research suggests that some constituents of black pepper inhibit CYP2D6. This has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, black pepper might increase levels of drugs metabolized by CYP3A4.
In vitro research and pharmacokinetic simulation data suggest that piperine, a constituent of black pepper, as well as the pepper fruit seem to inhibit CYP3A4. This has not been reported in humans.
Lithium
Theoretically, black pepper might increase blood levels of lithium due to its diuretic effects. The dose of lithium might need to be reduced.
Black pepper is thought to have diuretic properties.
Nevirapine (Viramune)
Black pepper might increase blood levels of nevirapine.
Clinical research shows that piperine, a constituent of black pepper, increases the plasma concentration of nevirapine. However, no adverse effects were observed in this study.
P-Glycoprotein Substrates
Theoretically, black pepper might increase levels of P-glycoprotein substrates.
In vitro research shows that piperine, a constituent of black pepper, seems to inhibit P-glycoprotein.
Pentobarbital (Nembutal)
Theoretically, black pepper might increase the sedative effects of pentobarbital.
Animal research shows that piperine, a constituent of black pepper, increases pentobarbital-induced sleeping time.
Phenytoin (Dilantin)
Black pepper might increase blood levels of phenytoin.
Clinical research shows that piperine, a constituent of black pepper, seems to increase absorption, slow elimination, and increase levels of phenytoin. Taking a single dose of black pepper 1 gram along with phenytoin seems to double the serum concentration of phenytoin. Consuming a soup with black pepper providing piperine 44 mg/200 mL of soup along with phenytoin also seems to increase phenytoin levels when compared with consuming the same soup without black pepper.
Propranolol (Inderal)
Black pepper might increase blood levels of propranolol.
Clinical research shows that piperine, a constituent of black pepper, seems to increase absorption and slow elimination of propranolol.
Rifampin (Rifadin)
Black pepper might increase blood levels of rifampin.
Clinical research shows that piperine, a constituent of black pepper, seems to increase absorption and serum levels of rifampin.
Theophylline
Black pepper might increase blood levels of theophylline.
Clinical research shows that piperine, a constituent of black pepper, seems to increase absorption and slow elimination of theophylline.
Amoxicillin (Amoxil, Trimox)
Theoretically, black pepper might increase the effects and side effects of amoxicillin.
Animal research shows that taking piperine, a constituent of black pepper, with amoxicillin increases plasma levels of amoxicillin. This has not been reported in humans.
Carbamazepine (Tegretol)
Theoretically, black pepper might increase blood levels of carbamazepine, potentially increasing the effects and side effects of carbamazepine.
One clinical study in patients taking carbamazepine 300 mg or 500 mg twice daily shows that taking a single 20 mg dose of purified piperine, a constituent of black pepper, increases carbamazepine levels. Piperine may increase carbamazepine absorption by increasing blood flow to the GI tract, increasing the surface area of the small intestine, or inhibiting cytochrome P450 3A4 (CYP3A4) in the gut wall. Absorption was significantly increased by 7-10 mcg/mL/hour. The time to eliminate carbamazepine was also increased by 4-8 hours. Although carbamazepine levels were increased, this did not appear to increase side effects. In vitro research also shows that piperine can increase carbamazepine levels by 11% in a time-dependent manner.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, black pepper might decrease levels and clinical effects of drugs metabolized by CYP1A2.
In vitro research suggests that black pepper induces CYP1A2. This has not been reported in humans.
Coleus forskohlii Extract
Calcium Channel Blockers
Theoretically, combining coleus with calcium channel blockers might increase the coronary vasodilatory effects.
Forskolin, a constituent of coleus, and calcium channel blockers both cause coronary vasodilatory effects.
Nitrates
Theoretically, combining coleus with nitrates might increase the coronary vasodilatory effects.
Forskolin, a constituent of coleus, and nitrates both cause coronary vasodilatory effects.
Anticoagulant/Antiplatelet Drugs
Theoretically, concomitant use of coleus and anticoagulant or antiplatelet drugs might increase the risk of bruising and bleeding.
In vitro and animal research shows that forskolin, a constituent of coleus, can inhibit platelet aggregation and adhesion.
Antihypertensive Drugs
Theoretically, combining coleus with antihypertensive drugs might cause additive blood pressure lowering effects and increase the risk of hypotension.
Animal research shows that forskolin, a constituent of coleus, may lower blood pressure.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, taking coleus may affect drugs metabolized by CYP2C9 and increase the risk of adverse effects or reduce the effectiveness.
Research on the effect of coleus on CYP2C9 is conflicting. Some animal research shows that coleus extract can induce CYP2C9, while in vitro research shows that coleus can inhibit CYP2C9. Until more is known, advise patients that taking coleus might increase or decrease levels of drugs metabolized by CYP2C9.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, taking coleus might decrease serum levels of drugs metabolized by CYP3A4.
In vitro research shows that coleus can activate the nuclear receptor, pregnane X receptor (PXR), which results in increased expression of CYP3A4. Although the clinical significance of this is not known, use caution when considering concomitant use of coleus and other drugs affected by these enzymes.
Warfarin (Coumadin)
Theoretically, taking coleus may affect the metabolism of warfarin and increase the risk of adverse effects or reduce the effectiveness.
Some animal research shows that coleus extract can induce cytochrome P450 2C9 (CYP2C9), an enzyme that metabolizes warfarin. However, other in vitro research shows that coleus can inhibit CYP2C9. Theoretically, taking coleus with drugs metabolized by CYP2C9 might affect drug levels and the risk of adverse effects. Until more is known, advise patients that taking coleus might increase or decrease levels of warfarin.
Rauwolscine
Anticoagulant/Antiplatelet Drugs
Theoretically, rauwolscine may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Rauwolscine is structurally related to yohimbine. In vitro research shows that yohimbine inhibits platelet aggregation.
Calcium Channel Blockers
Theoretically, rauwolscine may have additive coronary vasodilatory effects if used with calcium channel blockers.
In vitro, rauwolscine inhibits calcium influx in aortic smooth muscle cells.
Clonidine (Catapres)
Theoretically, rauwolscine may inhibit the effects of clonidine.
In animal research, rauwolscine antagonized the effects of clonidine.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, rauwolscine might increase levels of drugs metabolized by CYP2D6.
Rauwolscine is structurally related to yohimbine. In vitro research shows that yohimbine inhibits CYP2D6 enzyme activity.
Seizure Threshold Lowering Drugs
Theoretically, taking rauwolscine with seizure threshold lowering drugs might increase the risk of adverse convulsant effects.
In animal research, intraperitoneal rauwolscine lowered the seizure threshold level of the drug metrazol.
Stimulant Drugs
Theoretically, taking rauwolscine with stimulant drugs might increase the risk of adverse stimulant effects.
Rauwolscine has demonstrated stimulant effects in animal research.
Caffeine Anhydrous
Ephedrine
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Use of ephedrine with caffeine can increase the risk of stimulatory adverse effects. There is evidence that using ephedrine with caffeine might increase the risk of serious life-threatening or debilitating adverse effects such as hypertension, myocardial infarction, stroke, seizures, and death.
Adenosine (Adenocard)
Theoretically, caffeine might decrease the vasodilatory effects of adenosine and interfere with its use prior to stress testing.
Some evidence shows that caffeine is a competitive inhibitor of adenosine and can reduce the vasodilatory effects of adenosine in humans. However, other research shows that caffeine does not seem to affect supplemental adenosine because high interstitial levels of adenosine overcome the antagonistic effects of caffeine. It is recommended that methylxanthines and methylxanthine-containing products be stopped 24 hours prior to pharmacological stress tests. However, methylxanthines appear more likely to interfere with dipyridamole (Persantine) than adenosine-induced stress testing.
Anticoagulant/Antiplatelet Drugs
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Caffeine is reported to have antiplatelet activity. Theoretically, it might increase the risk of bleeding when used concomitantly with these agents; however, this interaction has not been reported in humans.
Beta-Adrenergic Agonists
Theoretically, large amounts of caffeine might increase the cardiac inotropic effects of beta-agonists.
Carbamazepine (Tegretol)
Theoretically, caffeine might reduce the effects of carbamazepine and increase the risk for convulsions.
Animal research suggests that taking caffeine can lower the anticonvulsant effects of carbamazepine and can induce seizures when taken in doses above 400 mg/kg. Human research has shown that taking caffeine 300 mg in three divided doses along with carbamazepine 200 mg reduces the bioavailability of carbamazepine by 32% and prolongs the plasma half-life of carbamazepine 2-fold in healthy individuals.
Cimetidine (Tagamet)
Theoretically, cimetidine might increase the levels and adverse effects of caffeine.
Cimetidine decreases the rate of caffeine clearance by 31% to 42%.
Clozapine (Clozaril)
Caffeine might increase the levels and adverse effects of clozapine and acutely exacerbate psychotic symptoms.
Caffeine might increase the effects and toxicity of clozapine. Caffeine doses of 400-1000 mg per day inhibit clozapine metabolism. Clozapine is metabolized by cytochrome P450 1A2 (CYP1A2). Although researchers speculate that caffeine might inhibit CYP1A2, there is no reliable evidence that caffeine affects CYP1A2. There is also speculation that genetic factors might make some patients more sensitive to an interaction between clozapine and caffeine. In one case report, severe, life-threatening clozapine toxicity and multiorgan system failure occurred in a patient with schizophrenia stabilized on clozapine who consumed caffeine 600 mg daily.
Dipyridamole (Persantine)
Theoretically, caffeine might decrease the vasodilatory effects of dipyridamole and interfere with its use prior to stress testing.
Caffeine inhibits dipyridamole-induced vasodilation. It is recommended that methylxanthines and methylxanthine-containing products be stopped 24 hours prior to pharmacological stress tests. Methylxanthines appear more likely to interfere with dipyridamole (Persantine) than adenosine-induced stress testing.
Disulfiram (Antabuse)
Theoretically, disulfiram use might increase the levels and adverse effects of caffeine.
Disulfiram decreases the rate of caffeine clearance.
Diuretic Drugs
Theoretically, using caffeine with diuretic drugs might increase the risk of hypokalemia.
Caffeine, especially in excessive amounts, can reduce potassium levels due to stimulation of the sodium-potassium pump. Diuretics can also cause lower potassium levels.
Estrogens
Theoretically, estrogens might increase the levels and adverse effects of caffeine.
Estrogen inhibits caffeine metabolism.
Ethosuximide (Zarontin)
Theoretically, caffeine might reduce the effects of ethosuximide and increase the risk for convulsions.
Animal research suggests that caffeine 92.4 mg/kg can decrease the anticonvulsant activity of ethosuximide. However, this effect has not been reported in humans.
Felbamate (Felbatol)
Theoretically, caffeine might reduce the effects of felbamate and increase the risk for convulsions.
Animal research suggests that a high dose of caffeine 161.7 mg/kg can decreases the anticonvulsant activity of felbamate. However, this effect has not been reported in humans.
Flutamide (Eulexin)
Theoretically, caffeine might increase the levels and adverse effects of flutamide.
In vitro evidence suggests that caffeine can inhibit the metabolism of flutamide. However, this effect has not been reported in humans.
Fluvoxamine (Luvox)
Theoretically, fluvoxamine might increase the levels and adverse effects of caffeine.
Fluvoxamine reduces caffeine metabolism.
Lithium
Abrupt caffeine withdrawal might increase the levels and adverse effects of lithium.
Caffeine has diuretic activity. When abruptly discontinued, caffeine may alter the clearance of lithium. There are two case reports of lithium tremor that worsened upon abrupt coffee withdrawal and 6 case reports of elevated serum lithium levels after reducing or eliminating caffeine intake. In one case, a male with schizoaffective disorder stabilized on lithium had an elevated lithium level after reducing his caffeine intake by 87%. At a later date, he increased his caffeine intake by 6-fold, resulting in a subtherapeutic lithium level and a recurrence of psychiatric symptoms.
Monoamine Oxidase Inhibitors (Maois)
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Caffeine has been shown to inhibit monoamine oxidase (MAO) A and B in laboratory studies. Concomitant intake of large amounts of caffeine with MAOIs might precipitate a hypertensive crisis. In a case report, a patient that consumed 10-12 cups of caffeinated coffee and took the MAOI tranylcypromine presented with severe hypertension. Hypertension was resolved after the patient switched to drinking decaffeinated coffee.
Nicotine
Theoretically, concomitant use might increase the risk of hypertension.
Concomitant use of caffeine and nicotine has been shown to have additive cardiovascular effects, including increased heart rate and blood pressure. Blood pressure was increased by 10.8/12.4 mmHg when the agents were used concomitantly.
Pentobarbital (Nembutal)
Theoretically, caffeine might decrease the effects of pentobarbital.
Caffeine might negate the hypnotic effects of pentobarbital.
Phenobarbital (Luminal)
Theoretically, caffeine might reduce the effects of phenobarbital and increase the risk for convulsions.
Animal research suggests that caffeine can decrease the anticonvulsant activity of phenobarbital. However, the exact mechanism of this interaction is unclear.
Phenylpropanolamine
Theoretically, phenylpropanolamine might increase the risk of hypertension, as well as the levels and adverse effects of caffeine.
Concomitant use of phenylpropanolamine and caffeine might cause an additive increase in blood pressure. Phenylpropanolamine also seems to increase caffeine serum levels.
Phenytoin (Dilantin)
Theoretically, caffeine might reduce the effects of phenytoin and increase the risk for convulsions.
Animal research suggests that caffeine can decrease the anticonvulsant activity of phenytoin. The effect does not seem to be related to the seizure threshold-lowering effects of caffeine. However, the exact mechanism of this interaction is unclear.
Pioglitazone (Actos)
Theoretically, caffeine might increase the levels and clinical effects of pioglitazone.
Animal research suggests that caffeine can modestly increase the maximum concentration, area under the curve, and half-life of pioglitazone, and also reduce its clearance. This increased the antidiabetic effects of pioglitazone. However, the exact mechanism of this interaction is unclear.
Quinolone Antibiotics
Theoretically, quinolone antibiotics might increase the levels and adverse effects of caffeine.
Quinolones (also called fluoroquinolones) can decrease caffeine clearance by inhibiting cytochrome P450 1A2 (CYP1A2) enzyme.
Riluzole (Rilutek)
Theoretically, concomitant use might increase the levels and adverse effects of both caffeine and riluzole.
Caffeine and riluzole are both metabolized by cytochrome P450 1A2 (CYP1A2), and concomitant use might reduce the metabolism of one or both agents.
L-Theanine
Antihypertensive Drugs
Theanine might lower blood pressure, potentiating the effects of antihypertensive drugs.
Animal research shows that theanine can lower blood pressure in spontaneously hypertensive animals. Theoretically, concomitant use of theanine and antihypertensive drugs might potentiate the antihypertensive activity.
Cns Depressants
Theoretically, theanine might have additive sedative effects when used in conjunction with CNS depressants. However, it is unclear if this concern is clinically relevant.
Theoretically, theanine may compete with glutamate and/or increase plasma gamma-aminobutyric acid (GABA) levels, which could cause CNS depression. In one clinical study, some subjects taking oral theanine reported drowsiness.
Serotonergic Drugs
Clinical studies regarding the effects of L-theanine on serotonin levels are conflicting. Some studies suggest it can increase serotonin levels in the brain while others report that it may decrease them. Nevertheless, there have been no reports of l-theanine being a causative agent in serotonergic-related side effects or serotonin syndrome.
Capsimax
Anticoagulant/Antiplatelet Drugs
Theoretically, capsicum may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In vitro research shows that capsicum might increase the effects of antiplatelet drugs. Also, population research shows that capsicum is associated with an increased risk of self-reported bleeding in patients taking warfarin. However, clinical research shows that taking a single dose of capsaicin (Asian Herbex Ltd.), the active ingredient in capsicum, 400-800 mcg orally in combination with aspirin 500 mg does not decrease platelet aggregation when compared with taking aspirin 500 mg alone. Also, there was no notable effect on measures of platelet aggregation with capsaicin. It is unclear whether capsaicin must be used in more than a single dose to affect platelet aggregation.
Antidiabetes Drugs
Theoretically, taking capsicum with antidiabetes drugs might increase the risk of hypoglycemia.
Preliminary clinical research shows that consuming capsicum 5 grams along with a glucose drink attenuates the rise in plasma glucose after 30 minutes by 21%, decreases the 2-hour postprandial area under the curve of plasma glucose by 11%, and increases the 2-hour postprandial area under the curve of plasma insulin by 58% in healthy individuals when compared with placebo. Other clinical research shows that taking capsicum 5 mg daily for 28 days significantly reduces postprandial blood glucose and insulin levels, but not fasting blood glucose and insulin levels, in patients with gestational diabetes.
Aspirin
Theoretically, taking capsicum with aspirin might reduce the bioavailability of aspirin.
Animal research shows that acute or chronic intake of capsicum pepper reduces oral aspirin bioavailability. This has not been shown in humans.
Theophylline
Theoretically, taking capsicum with theophylline might increase the levels and adverse effects of theophylline.
In animal research, oral administration of capsicum reduced excretion of theophylline. However, capsicum does not seem to affect the pharmacokinetics of theophylline when administered intravenously.
Ace Inhibitors (Aceis)
Theoretically, using topical capsaicin may increase the risk of ACE inhibitor-induced cough.
There is one case report of a topically applied capsaicin cream contributing to the cough reflex in a patient using an ACEI. However, it is unclear if this interaction is clinically significant.
Ciprofloxacin (Cipro)
Theoretically, taking capsicum with ciprofloxacin might increase levels and adverse effects of ciprofloxacin.
Animal research shows that concomitant use of capsaicin, the active constituent of capsicum, and ciprofloxacin increases the bioavailability of ciprofloxacin by up to 70%.
Brand information
Manufacturer and brand details for Thermo XT, from the product label.
Jacked Factory JF
See all Jacked Factory JF products- Name
- Jacked Factory
- City
- St. John's
- ZipCode
- A1A 5A1
- Phone Number
- 1-877-250-5237
Thermo XT by Jacked Factory JF: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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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 Thermo XT’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Caffeine
Interacts with 655 drugsCaffeine is a natural stimulant found in coffee, tea, and many other plants and products. In moderate amounts it can boost alertness and reduce tiredness for most healthy adults, but too muc...
Read the full Caffeine monograph → Herb & supplement monographBlack Pepper
Interacts with 1,019 drugsBlack pepper is a common kitchen spice that is generally safe in the amounts used in food. Its extract, piperine, is mostly added to supplements to help the body absorb other ingredients (li...
Read the full Black Pepper monograph → Herb & supplement monographTheanine
Interacts with 565 drugsTheanine (usually L-theanine) is an amino acid found naturally in tea leaves that many people take to feel calmer and less stressed without strong drowsiness. Early research suggests it may...
Read the full Theanine monograph → Herb & supplement monographRauwolscine
Interacts with 677 drugsRauwolscine (alpha-yohimbine) is a stimulant alkaloid closely related to yohimbine that is marketed mainly in fat-burning and pre-workout supplements. Human evidence for its benefits is very...
Read the full Rauwolscine monograph → Herb & supplement monographCapsicum
Interacts with 239 drugsCapsicum (chili pepper) contains capsaicin, which is best known and best studied as a topical treatment for certain types of pain. Topical capsaicin products are supported by reasonable evid...
Read the full Capsicum monograph → Herb & supplement monographColeus
Interacts with 915 drugsColeus is a plant from the mint family whose root contains a compound called forskolin, often marketed for weight loss, asthma, and heart health. While early lab and small human studies are...
Read the full Coleus monograph →Sources & How We Checked
Thermo XT'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 404 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.
Caffeine 236 references
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