Interactions on record — worth a quick check against your medications. Based on 2 of 5 ingredients. Check your meds →
Dietary supplement

Veggie Protein Very Vanilla Ingredients & Drug Interactions

by Twinlab CleanSeries

Veggie Protein Very Vanilla label
See full label image
Powder Category: Other Combinations
Most serious interaction: Moderate
Clinical methodology reviewed by · Updated Sep 16, 2026 · Label data from the NIH DSLD
What is this page for?

First and foremost: checking Veggie Protein Very Vanilla 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

The interaction bottom line Most serious interaction: Moderate

Veggie Protein Very Vanilla is a dietary supplement by Twinlab CleanSeries with 5 active ingredients. Its ingredients are commonly taken for constipation, diarrhea, high cholesterol.Based on those ingredients, 2,035 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Dietary Fiber, Sodium. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

Jump to a section

Check Your Meds Against Veggie Protein Very Vanilla by Twinlab CleanSeries

Ask about any prescription or over-the-counter medication and we check it for interactions with Veggie Protein Very Vanilla by Twinlab CleanSeries — and tell you which ingredient is responsible.

Pharmacist-reviewed data Checks every ingredient Answer in seconds
Prefer a human? Send your question to our licensed pharmacists — free, answered by email within 24 hours.

HelloPharmacist Scorecard of Veggie Protein Very Vanilla by Twinlab CleanSeries

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.

From our pharmacy team — supplement deep dive

Generated from HelloPharmacist’s pharmacist-curated databases and editorial rules · Last generated Jul 11, 2026

What’s inside

Full disclosure
Ingredient Transparency · database check
Full

Every active ingredient lists its own amount on the label.

Why this rating?
  • The label discloses an exact amount for 3 of its 3 active ingredients.
  • No proprietary blends here — you can verify the dose of every single component.

This powder contains 2 active ingredients: sodium and branched-chain amino acids. It's a plant-based protein blend built from sprouted brown rice, yellow pea, and chlorella, with added enzymes (papain and bromelain) to aid digestion and other inactive ingredients like guar gum and xanthan gum for texture.

Does it work?

Couldn't assess
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Not assessable

We hold no graded evidence for this product's ingredients for its stated purpose.

Why this rating?
  • The label markets this product for: Promotes muscle repair and recovery.
  • We looked for evidence on: Muscle recovery, Athletic performance, Protein supplementation, Post-exercise recovery.
  • Our graded evidence for these ingredients doesn't cover that particular purpose.

Sodium's proven uses in this context are narrow: it's likely effective for cystic fibrosis and possibly effective for preventing kidney damage from amphotericin B (an antifungal). For bipolar disorder and congestive heart failure, the evidence we hold isn't strong enough to rate it.

The effectiveness of branched-chain amino acids for any particular purpose is not established in our data.

The evidence, ingredient by ingredient Black Psyllium Sodium

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 2 of the 2 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 2 of 2.
  • General safety write-ups exist for 2 of 2.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Sodium is well tolerated at normal dietary amounts — up to 2.3 grams daily according to standard guidelines. Too much is linked to high blood pressure, heart strain, and kidney disease.

Population studies show high sodium intake is tied to a higher risk of gastric cancer and bone loss. There's conflicting data on pregnancy and lactation: one rating says likely safe, another says possibly unsafe — talk to your pharmacist or doctor before using if you're pregnant or breastfeeding.

Side effects, ingredient by ingredient Black Psyllium Sodium

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 2 of the 2 matched ingredients can interact with medications — Black Psyllium, Sodium.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: heart-rhythm medications; lithium.
  • For scale: 2,036 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Check before taking if you use blood pressure drugs, corticosteroids, lithium, or any sodium-containing medications or supplements — the sodium in this powder can affect how they work or increase your risk of high blood sodium levels. Also check if you take didanosine, sodium phosphates, or tolvaptan.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.

This is a plant protein powder, but the sodium it contains is the real interaction worry. If you take blood pressure medications, lithium, corticosteroids, or other sodium-sensitive drugs, you need to check with your pharmacist before using it.

Even with no medications, avoid this if you're on a sodium-restricted diet.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 2 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Mar 25, 2014.

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

At a glance

General information

Key facts about Veggie Protein Very Vanilla, straight from the product label.

Brand Twinlab CleanSeries
Barcode (UPC) 027434037600
Net contents 1.75 lbs; 795 Gram(s)
Market status On market
Date entered into DSLD Mar 25, 2014
DSLD ID 31875
Product type Other Combinations
Supplement form Powder
Dietary claims / uses Nutrient, All Other, Structure/Function
Intended target group(s) Vegetarian, Adult (18 - 50 Years), Gluten Free
From the label
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 Veggie Protein Very Vanilla by Twinlab CleanSeries, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
36 Gram(s)
Maximum serving Sizes:
36 Gram(s)
Servings per container
22
UPC/BARCODE
027434037600
IngredientAmount% DV
Calories110 {Calories}--
Total Carbohydrates9 Gram(s)3%
Sugar5 Gram(s)--
Calories from Fat10 {Calories}--
Dietary Fiber2 Gram(s)8%
Protein21 Gram(s)42%
Saturated Fat0 Gram(s)--
Sodium110 mg5%
Trans Fat0 Gram(s)--
Cholesterol0 mg--
Total Fat1.5 Gram(s)2%
Branched-Chain Amino Acids500 mg--

Other ingredients: sprouted Brown Rice Protein concentrate, yellow Pea Protein isolate, chlorella protein, Fructose, Natural flavors, Guar Gum, Xanthan Gum, branched chain amino acid blend, black chia seeds, Papain, Bromelain, reb A

Tap any ingredient to jump to its full detail below.

Label statements
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formulation

> No cholesterol > No preservatives added > No lactose, yeast, wheat, salt, starch, dairy, citrus, fish or egg added

100% VEGETARIAN < VEGGIE PROTEIN

Certified Gluten-Free by NSF(R)

VEGETARIAN FORMULA <

NO ARTIFICIAL COLORS, FLAVORS, OR SWEETENERS

// No artificial colors // No artificial flavors // No artificial sweeteners

General Statements

> Promotes muscle repair and recovery* > Enzyme-assisted formula to help aid digestion

TYPICAL AMINO ACID PROFILE PER SERVING L- Alanine 1001 mg L- Arginine 2174 mg L- Aspartic Acid 1936 mg L-Cystine 200 mg L-Glutamic Acid 3548 mg Glycine 734 mg L-Histidine 601 mg L-Isoleucine [BCAA] 973 mg L-Leucine [BCAA] 1955 mg L-Lycine 1326 mg L-Methionine 229 mg L-Phenylalanine 963 mg L-Proline 1144 mg L-Serine 992 mg L-Threonine 868 mg L-Tryptophan 210 mg L-Tyrosine 849 mg L-Valine [BCAA] 1297 mg

BEST IF USED BY DATE SHOWN ON BOTTLE.

BCAA BOOSTED

WHAT YOU GET.

CLEANSERIES OUR PROMISE Twinlab Clean Series represents a new standard in trust and quality for sports nutrition products. Created from scratch with the single-minded purpose of proving that you don’t have to sacrifice performance for peace of mind, this product is painstakingly produced in our own NSF(R) GMP for Sport registered facility and is held to the highest standards.

> TWINLAB.com facebook.com/twinlabfuel

NON-GMO TESTED: Independently PCR (Polymerase Chain Reaction) tested by a third party lab for genetically modified DNA to a limit of 0.9%.

> Low glycemic index

Non-GMO & BANNED SUBSTANCE TESTED

Batch tested by HFL for banned substances in accordance with the HFL Informed Sport and Informed Choice programs.

Seals/Symbols

INFORMED-CHOICE.ORG Trusted by sport

INFORMED-SPORT.com Trusted by sport

Non-GMO TESTED

TWIN iD TESTED

NSF(R) Contents Tested & Certified

THIS PRODUCT IS CERTIFIED GLUTEN FREE

FDA Statement of Identity

DIETARY SUPPLEMENT

Precautions

KEEP OUT OF REACH OF CHILDREN

WARNING: Do not use if pregnant or nursing. Consult a health care professional before use if you are taking any medication or have any medical condition.

Formula

> Contains 500mg added BCAAs (Leucine, Isoleucine, Valine at a 3:1:1 ratio) to help support lean muscle growth*

with other natural flavors + Whole Chia Seeds

21g PROTEIN/SERVING

FDA Disclaimer Statement

* This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Brand IP Statement(s)

TwinID(R) Tested to confirm the identity of each and every ingredient through our rigorous testing procedures.

TWINLAB(R) A NSF(R) GMP for Sport registered facility

Independently certified by the NSF(R) International product certification program to meet nutrient label claims.

Certified Gluten Free by NSF(R), an independent laboratory.

Proudly produced in our NSF(R) GMP for Sport registered facility in American Fork, Utah.

Suggested/Recommended/Usage/Directions

INSTRUCTIONS: Add 1 scoop (36 g) to 8-10 oz of cold water or almond milk, shake or blend for about 5 seconds and enjoy. For best results, use as part of a proper diet and exercise program.

Storage

STORE IN A COOL, DRY PLACE.

General

2022582

Is this label outdated? Report a formula or label change and our pharmacy team will review it.

See for yourself

Veggie Protein Very Vanilla by Twinlab CleanSeries label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

Veggie Protein Very Vanilla label

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)
What’s inside

The Ingredients in Veggie Protein Very Vanilla by Twinlab CleanSeries

These are the 5 active ingredients this product is made of. Select any to open its full monograph.

Serving size36 Gram(s) Dosage formPowder Servings per container22 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.

Sugar

5 Gram(s) per serving

Dietary Fiber

Interacts with
2,025 drugs
2 Gram(s) per serving

Black psyllium is a soluble-fiber supplement made from the seeds of a Plantago plant, used mostly to ease constipation and support digestive health. I...

Dietary Fiber monograph & interactions

Protein

21 Gram(s) per serving

Sodium

Interacts with
205 drugs
110 mg per serving

Sodium is an essential mineral and electrolyte your body needs to balance fluids, support nerves, and help muscles work. Most people in modern diets g...

Sodium monograph & interactions

Branched-Chain Amino Acids

500 mg per serving

Other (inactive) ingredients: Sprouted Brown Rice Protein concentrate, Yellow Pea Protein isolate, Chlorella protein, Fructose, Natural flavors, Guar Gum, Xanthan Gum, Branched chain amino acid blend, Black chia seeds, Papain, Bromelain, Reb A. These complete the product’s ingredient list but are not active constituents.

Interaction report

Veggie Protein Very Vanilla by Twinlab CleanSeries Drug Interactions

Want to check YOUR meds against Veggie Protein Very Vanilla?

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 checker
2,035Drugs
227 Moderate 1,808 Minor

Ingredients driving the most interactions

Dietary Fiber 2,025
Sodium 205

Individual Drug Interactions

The ingredients in Veggie Protein Very Vanilla interact with 2,035 drugs. Click any drug to see the details.

2 of the 5 ingredients in Veggie Protein Very Vanilla interact with drugs. Each result below shows which ingredient is responsible. Dietary Fiber Sodium

Each ingredient & the kinds of drugs it affects

For each ingredient in Veggie Protein Very Vanilla 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.

Dietary Fiber7 drug types · 2,025 drugs

Carbamazepine (Tegretol)

Theoretically, black psyllium might reduce the effects of carbamazepine and increase the risk for convulsions.
Theoretically, black psyllium might reduce carbamazepine absorption. A preliminary study using blond psyllium reported decreased carbamazepine bioavailability due to binding of the drug to psyllium, as well as reduction of available fluid in the gut for dissolution of the drug. This interaction may also occur with black psyllium.

Likelihood Probable Evidence D
Lithium

Theoretically, taking black psyllium at the same time as lithium might reduce lithium absorption.
The fiber in black psyllium might reduce lithium absorption and plasma levels. Some case reports describe a reduction in plasma lithium levels with concomitant administration of blond psyllium. This was reversed when psyllium was stopped. This interaction may also occur with black psyllium.

Likelihood Probable Evidence D
Metformin (Glucophage)

Theoretically, black psyllium might increase the therapeutic and adverse effects of metformin.
Animal research shows that concurrent consumption of blond psyllium with metformin slows and increases the absorption of metformin. This interaction may also occur with black psyllium. To avoid changes in absorption, take psyllium 30-60 minutes after metformin.

Likelihood Possible Evidence D
Olanzapine (Zyprexa)

Theoretically, taking black psyllium at the same time as olanzapine might reduce olanzapine absorption.
The fiber in black psyllium might decrease the absorption of olanzapine. A single case report describes a reduction in the effectiveness of olanzapine when it was concomitantly administered with an unspecified type of psyllium 3 grams orally twice daily. This effect was reversed when psyllium was stopped.

Likelihood Possible Evidence D
Digoxin (Lanoxin)

Theoretically, taking black psyllium at the same time as digoxin might reduce digoxin absorption and decrease digoxin levels.
Psyllium might bind digoxin in the gut. However, some clinical evidence suggests that psyllium does not impact digoxin absorption.

Likelihood Unlikely Evidence B
Ethinyl Estradiol

Theoretically, taking black psyllium at the same time as ethinyl estradiol might alter levels of estradiol.
Concurrent use of blond psyllium with ethinyl estradiol results in a slight increase in the extent of ethinyl estradiol absorption and a slower rate of absorption. This is unlikely to be clinically significant.

Likelihood Unlikely Evidence D
Oral Drugs

Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Psyllium seems to have variable effects on drug absorption. To avoid changes in absorption, take psyllium 30-60 minutes after oral medications. Animal research shows that blond psyllium delays and increases the absorption of metformin and ethinyl estradiol. Case reports and animal research suggest that blond psyllium might reduce absorption of lithium, digoxin, olanzapine, and carbamazepine. Finally, some pharmacokinetic studies show that psyllium does not affect the absorption of levothyroxine or warfarin. Although many of these studies evaluated blond psyllium, the fiber content in black psyllium may have similar effects.

Likelihood Possible Evidence B
Dietary Fiber full monograph & interactions

Sodium7 drug types · 205 drugs

Antihypertensive Drugs

Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
High intake of dietary sodium can increase systolic and diastolic blood pressure. Also, high intake of sodium may necessitate increased use of antihypertensive medications to achieve blood pressure control in some patients, such as those with chronic kidney disease.

Likelihood Probable Evidence A
Corticosteroids

Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Mineralocorticoids and some glucocorticoids (corticosteroids) cause sodium retention. This effect is dose-related and depends on mineralocorticoid potency. It is most common with hydrocortisone, cortisone, and fludrocortisone, followed by prednisone and prednisolone.

Likelihood Possible Evidence D
Didanosine (Videx)

Concomitant use of didanosine with additional sodium from dietary or supplemental sources may increase the risk of hypernatremia.
Didanosine formulations contain a significant amount of sodium.

Likelihood Probable Evidence C
Lithium

Altering dietary intake of sodium might alter the levels and clinical effects of lithium.
High sodium intake can reduce plasma concentrations of lithium by increasing lithium excretion. Reducing sodium intake can significantly increase plasma concentrations of lithium and cause lithium toxicity in patients being treated with lithium carbonate. Stabilizing sodium intake is shown to reduce the percentage of patients with lithium level fluctuations above 0.8 mEq/L. Patients taking lithium should avoid significant alterations in their dietary intake of sodium.

Likelihood Probable Evidence B
Sodium Phosphates

Theoretically, concomitant use of sodium phosphate with sodium supplements might increase the risk of hypernatremia.
Use of high doses (> 45 mL in 24 hours) of sodium phosphate, such as those used for bowel cleansing before surgery, can lead to serious electrolyte disturbances, including hypernatremia. The risk of hypernatremia is highest in the elderly and people with other risk factors for electrolyte disturbances.

Likelihood Possible Evidence D
Sodium-Containing Drugs

Concomitant use of sodium-containing drugs with additional sodium from dietary or supplemental sources may increase the risk of hypernatremia and long-term sodium-related complications.
The Chronic Disease Risk Reduction (CDRR) intake level of 2.3 grams of sodium daily indicates the intake at which it is believed that chronic disease risk increases for the apparently healthy population. Some medications contain high quantities of sodium. When used in conjunction with sodium supplements or high-sodium diets, the CDRR may be exceeded. Additionally, concomitant use may increase the risk for hypernatremia; this risk is highest in the elderly and people with other risk factors for electrolyte disturbances.

Likelihood Possible Evidence D
Tolvaptan (Samsca)

Theoretically, concomitant use of tolvaptan with sodium might increase the risk of hypernatremia.
Tolvaptan is a vasopressin receptor 2 antagonist that is used to increase sodium levels in patients with hyponatremia. Patients taking tolvaptan should use caution with the use of sodium salts such as sodium chloride.

Likelihood Probable Evidence C
Sodium full monograph & interactions
The maker

Brand information

Manufacturer and brand details for Veggie Protein Very Vanilla, from the product label.

Twinlab CleanSeries

See all Twinlab CleanSeries products
Name
TWINLAB CORPORATION
City
AMERICAN FORK
State
UT
ZipCode
84003
Phone Number
1-800-645-5626
Pharmacist Counseling Corner

Veggie Protein Very Vanilla by Twinlab CleanSeries: Common Questions

Does Veggie Protein Very Vanilla by Twinlab CleanSeries interact with any medications?
Yes. Based on its ingredients, Veggie Protein Very Vanilla has a known interaction with 2,035 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Veggie Protein Very Vanilla contains 5 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Can I use this protein powder if I'm on blood pressure medication?
You should check with your pharmacist first. The sodium in this product can make blood pressure drugs less effective, which might require your dose to be adjusted. Don't start it without running your specific medication through the checker on this page.
Is this safe during pregnancy or breastfeeding?
Our data shows conflicting safety ratings — one says likely safe, another says possibly unsafe. There isn't enough clear information to know either way. Talk with your doctor or pharmacist about whether it's right for you in pregnancy or while nursing.
What does the sodium in this product do?
Sodium is an essential mineral in small amounts, but this is a protein powder — the sodium is there as part of the formulation, not added for a therapeutic purpose. If you're already eating a normal diet, you're getting plenty of sodium without supplements.
What are branched-chain amino acids?
They're amino acids your body uses to build and repair muscle. This product includes them, but we don't hold interaction or effectiveness data for them — you'd need to ask your pharmacist or doctor about their role in a protein blend.
Does this powder have fillers?
It has several inactive ingredients for texture and taste — guar gum, xanthan gum, natural flavors, and fructose among them. The active protein comes from sprouted brown rice, yellow pea, and chlorella.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Not sure if Veggie Protein Very Vanilla is safe with your meds?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.

Veggie Protein Very Vanilla label
Go deeper

The Full Monographs Behind Veggie Protein Very Vanilla’s Ingredients

Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.

Herb & supplement monograph

Black Psyllium

Interacts with 2,025 drugs

Black psyllium is a soluble-fiber supplement made from the seeds of a Plantago plant, used mostly to ease constipation and support digestive health. It is best known and most studied for rel...

Read the full Black Psyllium monograph → Herb & supplement monograph

Sodium

Interacts with 205 drugs

Sodium is an essential mineral and electrolyte your body needs to balance fluids, support nerves, and help muscles work. Most people in modern diets get more than enough—often too much—from...

Read the full Sodium monograph →
Sources

Sources & How We Checked

Veggie Protein Very Vanilla'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.

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 56 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.

Black Psyllium 18 references
  1. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
  2. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  3. Covington TR, et al. Handbook of Nonprescription Drugs. 11th ed. Washington, DC: American Pharmaceutical Association, 1996.
  4. Etman M. Effect of a bulk forming laxative on the bioavailablility of carbamazepine in man. Drug Dev Ind Pharm 1995;21:1901-6.
  5. Perlman BB. Interaction between lithium salts and ispaghula husk. Lancet 1990;335:416.
  6. Vaswani SK, Hamilton RG, Valentine MD, Adkinson NF. Psyllium laxative-induced anaphylaxis, asthma, and rhinitis. Allergy 1996;51:266-8. PubMed
  7. Lantner RR, Espiritu BR, Zumerchik P, Tobin MC. Anaphylaxis following ingestion of a psyllium-containing cereal. JAMA 1990;264:2534-6. DOI
  8. Kaplan MJ. Anaphylactic reaction to "Heartwise." N Engl J Med 1990;323:1072-3. DOI
  9. Nordstrom M, Melander A, Robertsson E, Steen B. Influence of wheat bran and of a bulk-forming ispaghula cathartic on the bioavailability of digoxin in geriatric in-patients. Drug Nutr Interact 1987;5:67-9..
  10. Robinson DS, Benjamin DM, McCormack JJ. Interaction of warfarin and nonsystemic gastrointestinal drugs. Clin Pharmacol Ther 1971;12:491-5. PubMed
  11. Garcia JJ, Fernandez N, Diez MJ, et al. Influence of two dietary fibers in the oral bioavailability and other pharmacokinetic parameters of ethinyloestradiol. Contraception 2000;62:253-7. PubMed
  12. Fernandez N, Lopez C, Díez R, et al. Drug interactions with the dietary fiber Plantago ovata husk. Expert Opin Drug Metab Toxicol 2012;8(11):1377-86.
  13. Semen plantaginis in: WHO Monographs on Selected Medicinal Plants, volume 1. World Health Organization, Geneva, 1999. Available at http://apps.who.int/medicinedocs/en/d/Js2200e/. Accessed November 26, 1026.
  14. Code of Federal Regulations, Title 21 (21CFR 101.17). Food labeling warning, notice, and safe handling statements. Available at www.ecfr.gov/cgi-bin/text-idx?SID=20f647d3b74161501f46564b915b4048&mc=true&node=se21.2.101_117&rgn=div8. Accessed December 3, 2
  15. Code of Federal Regulations, Title 21 (21CFR 201.319). Specific labeling requirements - water-soluble gums, hydrophilic gums, and hydrophilic mucilloids. Available at www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=201.319. Accessed Dece
  16. Diez R, Garcia JJ, Diez MJ, Sierra M, Sahagun AM, Fernandez N. Influence of Plantago ovata husk (dietary fiber) on the bioavailability and other pharmacokinetic parameters of metformin in diabetic rabbits. BMC Complement Altern Med. 2017 Jun 7;17(1):298. PubMed
  17. Chiu AC, Sherman SI. Effects of pharmacological fiber supplements on levothyroxine absorption. Thyroid. 1998;8(8):667-71. PubMed
  18. Merrick C, Madden CA, Capurso NA. A Case of Blunted Orally Disintegrating Olanzapine Effect Due to Coadministered Psyllium. J Clin Psychiatry 2021;82(2):20cr13633. PubMed

See these in context on the Black Psyllium monograph →

Sodium 38 references
  1. Garabedian-Ruffalo SM, Ruffalo RL. Drug and nutrient interactions. Am Fam Physician 1986;33:165-74.
  2. Food and Drug Administration Science Background: Safety of Sodium Phosphates Oral Solution. September 17, 2001. Available at: http://www.fda.gov/cder/drug/safety/sodiumphospate.htm
  3. Coton T, Mallaret C, Coilliot C, Carre D, Guisset M. Severe acute ulcerated gastritis induced by salt. Presse Med 2009;38(3):499-500. PubMed
  4. Frings-Meuthen P, Buehlmeier J, Baecker N, et al. High sodium chloride intake exacerbates immobilization-induced bone resorption and protein losses. J Appl Physiol 2011;111(2):537-542. PubMed
  5. Frings-Meuthen P, Baecker N, Heer M. Low-grade metabolic acidosis may be the cause of sodium chloride-induced exaggerated bone resorption. J Bone Miner Res 2008;23(4):517-524. PubMed
  6. Alam S, Johnson AG. A meta-analysis of randomised controlled trials (RCT) among healthy normotensive and essential hypertensive elderly patients to determine the effect of high salt (NaCl) diet of blood pressure. J Hum Hypertens 1999;13(6):367-74.
  7. Boudville N, Ward S, Benaroia M, House AA. Increased sodium intake correlates with greater use of antihypertensive agents by subjects with chronic kidney disease. Am J Hypertens 2005;18(10):1300-5. PubMed
  8. Bennett WM. Drug interactions and consequences of sodium restriction. Am J Clin Nutr 1997;65(2 Suppl):678S-681S. PubMed
  9. Okusa MD, Crystal LJ. Clinical manifestations and management of acute lithium intoxication. Am J Med 1994;97(4):383-9. PubMed
  10. Food and Nutrition Board, Institute of Medicine. Dietary reference intakes for water, potassium, sodium, chloride, and sulfate. Washington, DC: National Academy Press, 2005. Available at: http://www.nap.edu/openbook.php?record_id=10925. DOI
  11. D'Elia L, Rossi G, Ippolito R, Cappuccio FP, Strazzullo P. Habitual salt intake and risk of gastric cancer: a meta-analysis of prospective studies. Clin Nutr 2012;31(4):489-98. PubMed
  12. Goldsmith SR. Hyponatremia in heart failure: time for a trial. J Card Fail 2013;19(6):398-400. PubMed
  13. Willocks L, Brettle R, Keen J, Valentine C, Pinching AJ. Formulations of didanosine (ddI) and salt overload. Lancet 1992;339(8786):190.
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See these in context on the Sodium monograph →

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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