Zymex II Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Zymex II 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
Zymex II is a dietary supplement by SP Standard Process with 7 active ingredients. Its ingredients are commonly taken for digestive support for protein digestion, wound cleaning (debridement of dead tissue), sore throat and inflammation.Based on those ingredients, 514 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Fig, Bromelain, Papain. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Zymex II by SP Standard Process
Ask about any prescription or over-the-counter medication and we check it for interactions with Zymex II by SP Standard Process — 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 Zymex II by SP Standard Process
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
Low disclosure
Zymex II contains 7 ingredients, with a proprietary blend of enzymes designed to support digestion. The active components include amylase, papain, bromelain, lipase, and cellulase—all digestive enzymes that break down different types of food (starches, proteins, fats, and fiber).
The blend also contains fig and defatted almond. The product is filled with gelatin, water, and maltodextrin as inactive ingredients.
Does it work?
Couldn't assess
The evidence for each ingredient in this product is limited. Papain, bromelain, lipase, fig, and almond all lack reliable evidence to support their use for the conditions studied—ranging from digestive complaints to skin conditions, diabetes, and cancer.
We hold no effectiveness ratings for the enzyme amylase or cellulase in our data. If you're considering this product for a specific health goal, the research doesn't yet establish that it works.
How safe is it?
Well-documented data
Papain and bromelain are generally well tolerated short-term at appropriate doses, though they can cause digestive upset, allergic reactions, and in sensitive people, respiratory symptoms if inhaled. High oral doses of papain may be unsafe.
Fig leaf poses a particular concern: it contains compounds that can cause photodermatitis (sun-triggered skin burns) if you're exposed to strong sunlight, especially if you're also taking sun-sensitizing medications. Defatted almond is generally safe but carries a serious allergy risk for people with tree-nut allergies.
Lipase has no reported adverse effects in adults, though safety data is limited. Papain should be avoided in pregnancy due to safety concerns, and bromelain safety data is insufficient—talk with your doctor about either if you're pregnant or breastfeeding.
Fig fruit as a food is considered safe in pregnancy and while breastfeeding if you're not allergic.
Meds to double-check
Moderate interaction found
Before taking Zymex II, double-check with your pharmacist if you're on warfarin or other blood thinners and antiplatelet drugs (moderate risk of increased bleeding). If you take diabetes medications or insulin, be aware the fig in this product may enhance their blood glucose-lowering effects.
If you're on photosensitizing drugs—such as quinolone antibiotics, sulfa drugs, or tetracyclines—the fig may increase your sun sensitivity. No interactions are documented for lipase or defatted almond in our data.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Zymex II is a digestive enzyme blend that may appeal to someone looking for enzyme support, but the evidence for its effectiveness isn't established in our data. If you take warfarin, diabetes medications, insulin, or drugs that cause sun sensitivity, check with your pharmacist before starting—this product has documented interactions with those medications.
Pregnant or breastfeeding? Talk to your doctor or pharmacist first, especially about the papain and bromelain content.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 5 of 7 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Oct 22, 2021.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Zymex II, straight from the product label.
| Brand | SP Standard Process |
|---|---|
| Barcode (UPC) | 812122011976 |
| Net contents | 150 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Oct 22, 2021 |
| DSLD ID | 256368 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Zymex II by SP Standard Process, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 4 Calorie(s) | -- |
| Total Carbohydrates | 1 Gram(s) | 1% |
| Proprietary Blend | 884 mg | -- |
| Amylase | 0 NP | -- |
| Papain | 0 NP | -- |
| Bromelain | 0 NP | -- |
| Lipase | 0 NP | -- |
| Cellulase | 0 NP | -- |
| Fig | 0 NP | -- |
| defatted Almond | 0 NP | -- |
Other ingredients: Gelatin, Water, Maltodextrin
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Suggested Use: Two capsules between meals, twice daily, or as directed.
Formulation
GF Gluten-Free
General Statements
Whole food supplements since 1929
Precautions
Caution: This product is processed in a facility that manufactures other products containing soy, milk, egg, wheat, peanut, tree nuts, fish, and shellfish.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Zymex II by SP Standard Process 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 Zymex II by SP Standard Process
These are the 7 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Capsule(s) Dosage formCapsule Servings per container75 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.
Proprietary Blend
- › Amylase
- › Papain
- › Bromelain
- › Lipase
- › Cellulase
- › Fig
- › Defatted Almond
Other (inactive) ingredients: Gelatin, Water, Maltodextrin. These complete the product’s ingredient list but are not active constituents.
Zymex II by SP Standard Process Drug Interactions
HelloPharmacist Interaction Report
Zymex II by SP Standard Process contains several ingredients with documented interactions with medications.
The most serious concern is papain, which can moderately increase the effects and side effects of warfarin (a blood thinner). One case report documented a patient's warfarin levels rising dangerously after taking a papain-containing supplement.
Read the full breakdown — every affected drug type, severity by severity
Bromelain, another enzyme in this product, may increase bleeding risk if you're on blood thinners or antiplatelet drugs (like aspirin or clopidogrel). It can also theoretically boost tetracycline antibiotic levels, though a study in healthy adults didn't find a clinically significant change.
Fig leaf in this blend theoretically enhances the blood glucose-lowering effects of diabetes medications and insulin—a small study showed it modestly reduced blood sugar levels and insulin needs in type 1 diabetes patients. Fig can also increase photosensitivity when combined with certain drugs that cause sun sensitivity, such as quinolones, sulfa antibiotics, and tetracyclines.
We couldn't check amylase and cellulase for interactions. Lipase and defatted almond have no documented interactions in our data.
Altogether, these interactions span 512 individual medications. Use the medication checker below to look up your exact drugs before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Zymex II?
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 Zymex II interact with 514 drugs. Click any drug to see the details.
3 of the 7 ingredients in Zymex II interact with drugs. Each result below shows which ingredient is responsible. Fig Bromelain Papain
AbciximabReoPro
How Abciximab interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
BromelainAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
BromelainAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, fig leaf might enhance the blood glucose lowering effects of hypoglycemic drugs.
Read the full Fig + Acarbose interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
BromelainAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acepromazine interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
BromelainAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
BromelainAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Chlorpheniramine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR
How Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylpropanolamineAlumadrine, Conex, Sinadrin Max Strength, Sinulin
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Chlorpheniramine, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, OpiumHista-Derfule
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, PhenyltoloxamineNorel Plus
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Phenyltoloxamine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Phenyltoloxamine interactionAcetaminophen, Chlorpheniramine, PseudoephedrineAlka-Seltzer PLUS Liquid Gels, Children's Tylenol Cold, Codimal, Comtrex, Extra Strength Tylenol Allergy Sinus, Lorsin +3 more
How Acetaminophen, Chlorpheniramine, Pseudoephedrine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Chlorpheniramine, Pseudoephedrine interactionAcetaminophen, Dexbrompheniramine, PseudoephedrineSinadrin Plus
How Acetaminophen, Dexbrompheniramine, Pseudoephedrine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Dexbrompheniramine, Pseudoephedrine interactionAcetaminophen, DiphenhydramineTylenol PM, Tylenol PM Ex Strength
How Acetaminophen, Diphenhydramine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Diphenhydramine interactionAcetaminophen, Diphenhydramine, PseudoephedrineChildren's Tylenol Allergy, Cold Control, Contac Night Allergy Relief
How Acetaminophen, Diphenhydramine, Pseudoephedrine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Diphenhydramine, Pseudoephedrine interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Zymex II — through 2 ingredients. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Ibuprofen interactionBromelainAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Acetaminophen, Ibuprofen interactionAcetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs
How Acetaminophen, Phenylephrine, Chlorpheniramine interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Phenylephrine, Chlorpheniramine interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetazolamide interactionAcetohexamideDymelor
How Acetohexamide interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
FigAntidiabetes Drugs, Photosensitizing Drugs Moderate
Interaction Summary
Theoretically, fig leaf might enhance the blood glucose lowering effects of hypoglycemic drugs.
Read the full Fig + Acetohexamide interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with Zymex II — through 1 ingredient. Tap an ingredient for the detail:
BromelainAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Acetylsalicylic Acid interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Zymex II 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.
Fig
Antidiabetes Drugs
Theoretically, fig leaf might enhance the blood glucose lowering effects of hypoglycemic drugs.
A small clinical study in patients with type 1 diabetes shows that consuming a tea made from fig leaves modestly reduces postprandial glucose levels and insulin requirements.
Insulin
Fig leaf may enhance the blood glucose lowering effects of insulin.
A small clinical study in patients with type 1 diabetes shows that consuming a tea made from fig leaves modestly reduces postprandial glucose levels and insulin requirements.
Photosensitizing Drugs
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Many cases of photodermatitis from fig leaf have been reported. Some drugs that also cause photosensitivity include amitriptyline (Elavil), quinolones (Ciprofloxacin, others), sulfa drugs (Septra, Bactrim, others), and tetracycline.
Bromelain
Anticoagulant/Antiplatelet Drugs
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
There is one case report of a patient experiencing minor bruising while taking bromelain with naproxen. Bromelain is thought to have antiplatelet activity. Whether this interaction is of concern with topical bromelain is unclear. Interference with coagulation of burn wounds has been reported in a patient receiving bromelain-based enzymatic debridement. However, observational research has found that topical bromelain debridement is not associated with increases or decreases in laboratory markers of coagulation when compared with surgical debridement.
Tetracycline Antibiotics
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Laboratory research suggests that bromelain might increase the absorption of tetracycline antibiotics. However, a study in healthy adults reported no difference in tetracycline plasma levels when a 500 mg dose was taken with or without bromelain 80 mg.
Papain
Warfarin (Coumadin)
Theoretically, papain might increase the effects and side effects of warfarin.
In one case report, a patient previously stable on warfarin was found to have an international normalization ratio (INR) of 7.4, which was attributed to ingestion of a supplement containing papain from papaya extract.
Brand information
Manufacturer and brand details for Zymex II, from the product label.
SP Standard Process
See all SP Standard Process products- Name
- Standard Process Inc.
- Street Address
- PO Box 904
- City
- Palmyra
- State
- WI
- ZipCode
- 53156
Zymex II by SP Standard Process: Common Questions
Does Zymex II by SP Standard Process interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is Zymex II safe to take while pregnant or breastfeeding?
Can I take this if I'm on warfarin or another blood thinner?
What does papain do in this product?
Will this help my constipation or digestive upset?
Can I take this if I'm on insulin or diabetes medication?
What are the most common side effects?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Zymex II is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Zymex II’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Papain
Interacts with 2 drugsPapain is a protein-digesting enzyme from the papaya plant that is used in digestive supplements and some topical products. While it has clear food and laboratory uses, strong human evidence...
Read the full Papain monograph → Herb & supplement monographBromelain
Interacts with 141 drugsBromelain is a group of protein-digesting enzymes from pineapple that people take mainly for inflammation, swelling, and sinus problems. Some early studies are promising, but the overall evi...
Read the full Bromelain monograph → Herb & supplement monographLipase
Lipase is a digestive enzyme that helps your body break down dietary fats. It is well established as part of prescription pancreatic enzyme therapy for people who cannot make enough of their...
Read the full Lipase monograph → Herb & supplement monographFig
Interacts with 410 drugsFig (Ficus carica) is a common fruit that has long been used as a gentle food remedy for constipation, and its leaves are used traditionally for blood sugar and coughs. The fruit is a safe a...
Read the full Fig monograph → Herb & supplement monographSweet Almond
Sweet almonds are a nutritious tree nut rich in healthy fats, fiber, protein, vitamin E, and minerals, and they are generally safe and healthy to eat as part of a balanced diet. Almond oil i...
Read the full Sweet Almond monograph →Sources & How We Checked
Zymex II'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 48 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.
Papain 11 references
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- Shaw D, Leon C, Kolev S, Murray V. Traditional remedies and food supplements: a 5-year toxicological study (1991-1995). Drug Saf 1997;17:342-56.
- Shuttleworth D, Hill S, Marks R, Connelly DM. Relief of experimentally induced pruritus with a novel eutectic mixture of local anaesthetic agents. Br J Dermatol 1988;119:535-40.
- Mansfield LE, Ting S, Haverly RW, Yoo TJ. The incidence and clinical implications of hypersensitivity to papain in an allergic population, confirmed by blinded oral challenge. Ann Allergy 1985;55:541-3.
- Martin, T., Uhder, K., Kurek, R., Roeddiger, S., Schneider, L., Vogt, H. G., Heyd, R., and Zamboglou, N. Does prophylactic treatment with proteolytic enzymes reduce acute toxicity of adjuvant pelvic irradiation? Results of a double-blind randomized trial PubMed
- Walker-Renard, P. Update on the medicinal management of phytobezoars. Am J Gastroenterol. 1993;88(10):1663-1666.
- Tymoszuk D, Wiszniewska M, Walusiak-Skorupa J. Papain-induced occupational rhinoconjunctivitis and asthma - A case report. Med Pr 2016;67(1):109-12. PubMed
- Soto-Mera MT, López-Rico MR, Filgueira JF, et al. Occupational allergy to papain. Allergy 2000;55(10):983-4. PubMed
- Tarlo SM, Shaikh W, Bell B, et al. Papain-induced allergic reactions. Clin Allergy 1978;8(3):207-15. PubMed
- Baur X, König G, Bencze K, Fruhmann G. Clinical symptoms and results of skin test, RAST and bronchial provocation test in thirty-three papain workers: Evidence for strong immunogenic potency and clinically relevant proteolytic e?ects of airborne papain. C
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