Tocotrienols With Sesame Lignans Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Tocotrienols With Sesame Lignans 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
Tocotrienols With Sesame Lignans is a dietary supplement by Life Extension with 3 active ingredients. Its ingredients are commonly taken for general antioxidant support, skin and hair care, heart health.Based on those ingredients, 1,073 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Vitamin E, Sesame seed Lignan extract, Tocomin Full-Spectrum Natural Tocotrienol/Tocopherol Complex. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Tocotrienols With Sesame Lignans by Life Extension
Ask about any prescription or over-the-counter medication and we check it for interactions with Tocotrienols With Sesame Lignans by Life Extension — 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 Tocotrienols With Sesame Lignans by Life Extension
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This product contains 3 active ingredients. Vitamin E is the primary one — it's an antioxidant vitamin your body needs, especially to protect cells from damage.
Sesame seed lignan extract comes from sesame seeds and contains compounds that may support blood pressure and blood sugar. Tocomin Full-Spectrum Natural Tocotrienol/Tocopherol Complex is a blend of tocotrienols and tocopherols, forms of vitamin E found naturally in plants like palm and rice bran.
The softgel capsule also contains inactive ingredients — gelatin, glycerin, beeswax, purified water, sunflower lecithin, and rosemary extract — which are there to hold the product together and preserve it.
Does it work?
Moderate evidence
Vitamin E is effective for treating vitamin E deficiency and a rare genetic disorder called ataxia with vitamin E deficiency (AVED). It's possibly effective for Alzheimer disease, beta-thalassemia, and G6PD deficiency — meaning there's some supportive evidence, but it's not conclusive.
Sesame seed lignans are possibly effective for high blood pressure but possibly ineffective for cough. For nonalcoholic fatty liver disease, HIV/AIDS-related wasting, Alzheimer disease, and anemia of chronic disease, the evidence isn't established in our data.
Tocotrienols are possibly effective for diabetes but possibly ineffective for high cholesterol. For alopecia areata and breast cancer, there's insufficient evidence to rate them.
How safe is it?
Well-documented data
Vitamin E from food and normal dietary amounts is generally well tolerated. High-dose long-term supplements, though, may raise your risk of bleeding and other harms — including rare serious effects like hemorrhagic stroke and cardiovascular complications.
High doses can also increase bleeding risk, especially if you have a vitamin K deficiency or take blood thinners. Sesame is a major allergen — up to 0.5% of the U.S. population reports a sesame allergy, with allergic symptoms ranging from skin reactions like swelling and hives to respiratory and gastrointestinal issues.
A single case of diarrhea has been reported. Tocotrienols appear well tolerated in studies, with no adverse effects reported in clinical trials; one topical study noted mild itching in 7% of users.
For pregnancy, the safety data on concentrated sesame and tocotrienol supplements is limited — amounts from food and prenatal vitamins are fine, but avoid high-dose supplements unless your doctor directs otherwise. While breastfeeding, normal dietary amounts are fine, but check with your doctor before taking high-dose supplements, especially of sesame or tocotrienols.
Meds to double-check
Moderate interaction found
Check your exact medications before taking this product, especially if you're on blood thinners or antiplatelet drugs (Moderate risk of increased bleeding), blood pressure-lowering drugs (Moderate risk of blood pressure dropping too low), blood sugar medications (Moderate risk of blood sugar dropping too low), cancer chemotherapy drugs like alkylating agents or antitumor antibiotics (Moderate risk they may be less effective), cyclosporine, warfarin, selumetinib, or liver-metabolized drugs processed through CYP3A4 or CYP2C9 pathways (Moderate or Minor risk depending on the type). Use the medication checker on this page with your prescriptions.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This product may work for you if you have a vitamin E deficiency or want the possibly-effective support sesame may offer for blood pressure. If you take blood thinners, blood pressure medications, blood sugar medications, or cancer chemotherapy drugs, talk to your pharmacist or doctor before starting — the interactions are real and worth checking against your exact medications.
Anyone with a known sesame allergy should avoid this product entirely.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Apr 22, 2016.
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 Tocotrienols With Sesame Lignans, straight from the product label.
| Brand | Life Extension |
|---|---|
| Barcode (UPC) | 737870781066 |
| Net contents | 60 Softgel(s) |
| Market status | On market |
| Date entered into DSLD | Apr 22, 2016 |
| DSLD ID | 58807 |
| Product type | Botanical With Nutrients |
| Supplement form | Softgel Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
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 Tocotrienols With Sesame Lignans by Life Extension, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Vitamin E | 28.7 IU | 96% |
| Sesame seed Lignan extract | 20 mg | -- |
| Tocomin Full-Spectrum Natural Tocotrienol/Tocopherol Complex | 192 mg | -- |
Other ingredients: Gelatin, Glycerin, Beeswax, purified Water, Sunflower Lecithin, Rosemary extract
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.
General Statements
Scan for product info
Vitamin E Complex For Heart Health
To report a serious adverse event or obtain product information, contact 1-866-280-2852.
Natural separation of active ingredients may occur. Tocotrienols are extracted and concentrated from sustainably sourced Malaysian red palm oil.
Suggested/Recommended/Usage/Directions
Read the entire label and follow the directions carefully prior to use. DIRECTIONS: Take one (1) softgel daily with food, or as recommended by a healthcare practitioner.
Precautions
CAUTION: If you are taking anti-coagulant or anti-platelet medications, or have a bleeding disorder, consult your healthcare provider before taking this product.
WARNINGS: ~ KEEP OUT OF REACH OF CHILDREN.
~ DO NOT EXCEED RECOMMENDED DOSE. ~ Do not purchase if outer seal is broken or damaged.
~ When using nutritional supplements, please consult with your physician if you are undergoing treatment for a medical condition or if you are pregnant or lactating.
Storage
Store tightly closed in a cool, dry place.
Brand IP Statement(s)
Tocomin is a registered trademark of Carotech, Inc.; protected by U.S. Patent # 5,157,132.
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.
FDA Statement of Identity
Dietary Supplement
Formula
Typical Tocotrienol/Tocopherol Distribution (mg): Gamma tocotrienol: 38.4 - 46.08, Alpha tocotrienol: 21.12 - 26.88, Delta tocotrienol: 10.56 - 13.44, Beta tocotrienol: 2.88, Alpha tocopherol: 19.2 - 26.88
Formulation
No artificial color has been added to these softgels.
General
Q00781E
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Tocotrienols With Sesame Lignans by Life Extension 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 Tocotrienols With Sesame Lignans by Life Extension
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Softgel(s) Dosage formSoftgel Capsule 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.
Vitamin E
Interacts with764 drugs
Vitamin E is an essential fat-soluble vitamin and antioxidant that most people get in adequate amounts from a normal diet. Supplements can help correc...
Vitamin E monograph & interactionsSesame seed Lignan extract
Interacts with528 drugs
Sesame is a nutritious seed and oil widely used in cooking and traditional medicine, and it provides healthy fats, fiber, and antioxidant compounds ca...
Sesame seed Lignan extract monograph & interactionsTocomin Full-Spectrum Natural Tocotrienol/Tocopherol Complex
Interacts with122 drugs
Tocotrienols are a less common form of vitamin E with strong antioxidant activity studied mostly for cholesterol, liver, and heart health. Early resea...
Tocomin Full-Spectrum Natural Tocotrienol/Tocopherol Complex monograph & interactionsOther (inactive) ingredients: Gelatin, Glycerin, Beeswax, Purified Water, Sunflower Lecithin, Rosemary extract. These complete the product’s ingredient list but are not active constituents.
Tocotrienols With Sesame Lignans by Life Extension Drug Interactions
HelloPharmacist Interaction Report
Tocotrienols With Sesame Lignans by Life Extension does interact with a number of medications.
Vitamin E, the product's main ingredient, carries Moderate-severity interactions with blood thinners (anticoagulants) and antiplatelet drugs — it can increase your bleeding risk by interfering with clotting factors and platelet function. This effect is dose-dependent, so the risk grows with higher amounts.
Read the full breakdown — every affected drug type, severity by severity
Vitamin E also has Moderate interactions with several other drug types: medications that work through the liver's CYP3A4 pathway (which vitamin E may speed up, potentially lowering their levels), cancer chemotherapy drugs like alkylating agents and antitumor antibiotics (where vitamin E's antioxidant properties might reduce effectiveness), cyclosporine (an immunosuppressant where certain vitamin E forms may increase levels), warfarin specifically, and selumetinib. There's also a Minor interaction with niacin, where vitamin E might blunt niacin's helpful effects on cholesterol.
Sesame seed lignan extract adds Moderate concerns with blood pressure-lowering drugs (risk of blood pressure dropping too low), blood sugar medications (risk of blood sugar dropping too low), and theoretically with certain liver-metabolized drugs (CYP2C9 substrates) and tamoxifen — though human evidence is limited. There's a Minor interaction with P-glycoprotein substrates.
Tocotrienols carry a Minor interaction with blood thinners, though this hasn't been reported in humans.
Altogether, these interactions span 1,058 individual medications. Use the medication checker on this page to see if any of yours are affected.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Tocotrienols With Sesame Lignans?
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 Tocotrienols With Sesame Lignans interact with 1,073 drugs. Click any drug to see the details.
3 of the 3 ingredients in Tocotrienols With Sesame Lignans interact with drugs. Each result below shows which ingredient is responsible. Vitamin E Sesame seed Lignan extract Tocomin Full-Spectrum Natural Tocotrienol/Tocopherol Complex
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with Tocotrienols With Sesame Lignans — through 2 ingredients. Tap an ingredient for the detail:
Vitamin EAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Vitamin E + Abciximab interactionTocomin Full-spectrum Natural Tocotrienol/tocopherol ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocomin Full-spectrum Natural Tocotrienol/tocopherol Complex + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Tocotrienols With Sesame Lignans — through 3 ingredients. Tap an ingredient for the detail:
Vitamin EAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Vitamin E + Abrocitinib interactionSesame Seed Lignan ExtractCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, sesame might increase the levels and clinical effects of CYP2C9 substrates.
Read the full Sesame Seed Lignan Extract + Abrocitinib interactionTocomin Full-spectrum Natural Tocotrienol/tocopherol ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocomin Full-spectrum Natural Tocotrienol/tocopherol Complex + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Tocotrienols With Sesame Lignans — through 2 ingredients. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acalabrutinib interactionSesame Seed Lignan ExtractP-glycoprotein Substrates Minor
Interaction Summary
Theoretically, sesame might alter the transport of P-glycoprotein substrates.
Read the full Sesame Seed Lignan Extract + Acalabrutinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Sesame Seed Lignan ExtractAntidiabetes Drugs Moderate
Interaction Summary
Taking sesame oil with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Sesame Seed Lignan Extract + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Sesame Seed Lignan ExtractAntihypertensive Drugs Moderate
Interaction Summary
Taking sesame oil with antihypertensive drugs might increase the risk of hypotension.
Read the full Sesame Seed Lignan Extract + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Tocotrienols With Sesame Lignans — through 2 ingredients. Tap an ingredient for the detail:
Vitamin EAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Vitamin E + Acenocoumarol interactionTocomin Full-spectrum Natural Tocotrienol/tocopherol ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocomin Full-spectrum Natural Tocotrienol/tocopherol Complex + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Tocotrienols With Sesame Lignans — through 2 ingredients. Tap an ingredient for the detail:
Vitamin EAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Vitamin E + Acetaminophen, Aspirin interactionTocomin Full-spectrum Natural Tocotrienol/tocopherol ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocomin Full-spectrum Natural Tocotrienol/tocopherol Complex + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Tocotrienols With Sesame Lignans — through 2 ingredients. Tap an ingredient for the detail:
Vitamin EAnticoagulant/antiplatelet Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Vitamin E + Acetaminophen, Aspirin, Caffeine interactionTocomin Full-spectrum Natural Tocotrienol/tocopherol ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocomin Full-spectrum Natural Tocotrienol/tocopherol Complex + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + 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 Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Chlorpheniramine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR
How Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylpropanolamineAlumadrine, Conex, Sinadrin Max Strength, Sinulin
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine interacts with Tocotrienols With Sesame Lignans — through 1 ingredient. Tap an ingredient for the detail:
Vitamin ECytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Chlorpheniramine, Phenylpropanolamine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Tocotrienols With Sesame Lignans 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.
Vitamin E
Alkylating Agents
Theoretically, antioxidant effects of vitamin E might reduce the effectiveness of alkylating agents.
There's concern that antioxidants could reduce the activity of chemotherapy drugs which generate free radicals, such as cyclophosphamide, chlorambucil, carmustine, busulfan, and thiotepa. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as vitamin E have on chemotherapy. Advise patients to consult their oncologist before using vitamin E supplements, especially in high doses.
Anticoagulant/Antiplatelet Drugs
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Vitamin E seems to inhibit of platelet aggregation and antagonize the effects of vitamin K-dependent clotting factors. These effects appear to be dose-dependent, and are probably only likely to be clinically significant with doses of at least 800 units daily. Mixed tocopherols, such as those found in food, might have a greater antiplatelet effect than alpha-tocopherol. RRR alpha-tocopherol (natural vitamin E) 1000 IU daily antagonizes vitamin K-dependent clotting factors. Advise patients to avoid high doses of vitamin E, especially in people with low vitamin K intake or other risk factors for bleeding.
Antitumor Antibiotics
Theoretically, antioxidant effects of vitamin E might reduce the effectiveness of antitumor antibiotics.
There's concern that antioxidants could reduce the activity of antitumor antibiotic drugs such as doxorubicin, which generate free radicals. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as vitamin E have on chemotherapy involving antitumor antibiotics. Advise patients to consult their oncologist before using vitamin E supplements, especially in high doses.
Cyclosporine (Neoral, Sandimmune)
A specific form of vitamin E might increase absorption and levels of cyclosporine.
There is some evidence that one specific formulation of vitamin E (D-alpha-tocopheryl-polyethylene glycol-1000 succinate, TPGS, tocophersolan, Liqui-E) might increase absorption of cyclosporine. This vitamin E formulation forms micelles which seems to increase absorption of cyclosporine by 40% to 72% in some patients. However, this interaction is unlikely to occur with the usual forms of vitamin E.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Vitamin E appears to bind with 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 vitamin E and other drugs affected by these enzymes.
Selumetinib (Koselugo)
Taking selumetinib with vitamin E can result in a total daily dose of vitamin E that exceeds safe limits and therefore might increase the risk of bleeding.
Selumetinib contains 48-54 IU vitamin E per capsule. The increased risk of bleeding with vitamin E appears to be dose-dependent. Be cautious when using selumetinib in combination with supplemental vitamin E, especially in patients at higher risk of bleed, such as those with chronic conditions and those taking antiplatelet drugs.
Warfarin (Coumadin)
Using vitamin E with warfarin might increase the risk of bleeding.
Due to interference with production of vitamin K-dependent clotting factors, use of more than 400 IU of vitamin E daily with warfarin might increase prothrombin time (PT), INR, and the risk of bleeding,. At a dose of 1000 IU per day, vitamin E can antagonize vitamin K-dependent clotting factors even in people not taking warfarin. Limited clinical evidence suggests that doses up to 1200 IU daily may be used safely by patients taking warfarin, but this may not be applicable in all patient populations.
Niacin
Vitamin E might decrease the beneficial effects of niacin on high-density lipoprotein (HDL) cholesterol levels.
A combination of niacin and simvastatin (Zocor) effectively raises high-density lipoprotein (HDL) cholesterol levels in people with coronary disease and low HDL levels. Clinical research shows that taking a combination of antioxidants (vitamin C, vitamin E, beta-carotene, and selenium) along with niacin and simvastatin (Zocor) attenuates this rise in HDL, specifically the HDL-2 and apolipoprotein A1 fractions, by more than 50%. Vitamin E alone combined with a statin does not seem to decrease HDL levels. It is not known whether the adverse effect on HDL is due to one of the other antioxidants or to the combination. It also is not known whether it will occur in other patient populations.
Sesame seed Lignan extract
Antidiabetes Drugs
Taking sesame oil with antidiabetes drugs might increase the risk of hypoglycemia.
Clinical studies show that sesame oil can decrease plasma glucose and glycated hemoglobin (HbA1c) levels. Some clinical research in patients taking glibenclamide shows that using sesame oil or a blend of sesame oil and rice bran oil in place of other oil for cooking reduces plasma glucose more than glibenclamide alone. Monitor blood glucose levels closely. Dose adjustments might be necessary.
Antihypertensive Drugs
Taking sesame oil with antihypertensive drugs might increase the risk of hypotension.
Clinical research shows that replacing other cooking oil with sesame oil can lower systolic blood pressure (SBP) and diastolic blood pressure (DBP) in patients with or without hypertension. There is also some evidence that sesame oil has additive effects in patients also taking atenolol, nifedipine, and/or hydrochlorothiazide. In patients using nifedipine, using a blend of sesame oil and rice bran oil for cooking reduces both SBP and DBP more than nifedipine alone.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, sesame might increase the levels and clinical effects of CYP2C9 substrates.
In vitro, sesame inhibits CYP2C9. However, this interaction has not been reported in humans.
Tamoxifen (Nolvadex)
Theoretically, sesame might interfere with tamoxifen.
In animal research, sesame seed reduces the tumor-inhibitory effect of tamoxifen by reducing apoptosis and increasing proliferation. This interaction has not been reported in humans.
P-Glycoprotein Substrates
Theoretically, sesame might alter the transport of P-glycoprotein substrates.
In vitro research suggests that sesamin, a constituent of sesame, can inhibit the multi-drug transporter protein, P-glycoprotein. However, this interaction has not been reported in humans.
Tocomin Full-Spectrum Natural Tocotrienol/Tocopherol Complex
Anticoagulant/Antiplatelet Drugs
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding. However, this has not been reported in humans.
Taking tocotrienols orally inhibits experimentally-induced platelet aggregation in humans. Theoretically tocotrienols might increase the risk of bleeding if taken with antiplatelet or anticoagulant drugs. However, tocotrienols 400-800 mg daily have been used with aspirin and/or clopidogrel for 1 year with no clear cumulative antiplatelet effects and no reports of bleeding.
Brand information
Manufacturer and brand details for Tocotrienols With Sesame Lignans, from the product label.
Life Extension
See all Life Extension products- Name
- Quality Supplements and Vitamins, Inc.
- City
- Ft. Lauderdale
- State
- Florida
- ZipCode
- 33309
- Phone Number
- 1-866-280-2852
- Web Address
- www.lef.org
Tocotrienols With Sesame Lignans by Life Extension: Common Questions
Does Tocotrienols With Sesame Lignans by Life Extension interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What is vitamin E in this product, and what does it do?
Is sesame seed lignan extract safe if I have a sesame allergy?
Will this product lower my blood pressure or blood sugar?
Can I take this while I'm pregnant or breastfeeding?
Does this product have any side effects?
What are tocotrienols, and how are they different from regular vitamin E?
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 Tocotrienols With Sesame Lignans’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Vitamin E
Interacts with 764 drugsVitamin E is an essential fat-soluble vitamin and antioxidant that most people get in adequate amounts from a normal diet. Supplements can help correct a true deficiency, but high-dose vitam...
Read the full Vitamin E monograph → Herb & supplement monographSesame
Interacts with 528 drugsSesame is a nutritious seed and oil widely used in cooking and traditional medicine, and it provides healthy fats, fiber, and antioxidant compounds called lignans. Some early research sugges...
Read the full Sesame monograph → Herb & supplement monographTocotrienols
Interacts with 122 drugsTocotrienols are a less common form of vitamin E with strong antioxidant activity studied mostly for cholesterol, liver, and heart health. Early research is interesting but far from conclusi...
Read the full Tocotrienols monograph →Sources & How We Checked
Tocotrienols With Sesame Lignans'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 121 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.
Vitamin E 64 references
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Sesame 53 references
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