Supplement & Medication Interactions

Find out which supplements are safe, beneficial, or risky with your medications

Medical Disclaimer

This information is for educational purposes only. Always consult your healthcare provider before combining supplements with medications.

Detailed Interaction Guides

Interaction Guide

Supplements to Take (and Avoid) with Adderall

Which supplements are safe with Adderall? Guide to reducing side effects, supporting focus, and avoiding dangerous stimulant interactions for ADHD …

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Interaction Guide

Supplements to Take (and Avoid) with Antibiotics

Which supplements are safe with antibiotics? Probiotic timing guide, mineral interactions, and how to protect your gut during antibiotic treatment.

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Interaction Guide

Supplements to Take (and Avoid) with Beta-Blockers

Which supplements are safe with metoprolol, atenolol, and propranolol? CoQ10 depletion, melatonin support, and beta-blocker supplement interaction …

beta-blocker metoprolol propranolol
Interaction Guide

Supplements to Take (and Avoid) with Birth Control

Which supplements are safe with birth control pills? Guide to nutrient depletion from oral contraceptives and supplements that reduce birth control …

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Interaction Guide

Supplements to Take (and Avoid) with Levothyroxine

Which supplements are safe with levothyroxine (Synthroid)? Critical 4-hour mineral rule, thyroid conversion support, and evidence-based interaction …

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Interaction Guide

Supplements to Take (and Avoid) with Metformin

Which supplements are safe with metformin? Essential guide to B12 depletion, nutrient interactions, and the best supplements for metformin users.

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Interaction Guide

Supplements to Take (and Avoid) with NSAIDs

Which supplements are safe with ibuprofen and naproxen? Guide to natural anti-inflammatories, gut protection, and NSAID supplement interactions.

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Interaction Guide

Supplements to Take (and Avoid) with PPIs

Which supplements are safe with PPIs like omeprazole and pantoprazole? Guide to nutrient depletion, absorption issues, and the best supplements for …

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Interaction Guide

Supplements to Take (and Avoid) with SSRIs

Which supplements are safe with SSRIs like Lexapro and Zoloft? Evidence-based guide to SSRI supplement interactions.

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Interaction Guide

Supplements to Take (and Avoid) with Statins

Which supplements are safe with statins like Lipitor and Crestor? CoQ10 depletion, muscle pain relief, and evidence-based statin supplement guide.

statin cholesterol drug interactions
Interaction Guide

Supplements to Take (and Avoid) with Warfarin

Which supplements are safe with warfarin (Coumadin)? Critical guide to vitamin K interactions, bleeding risk, and safe supplement choices for blood …

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Quick Reference: All Medication Interactions

Adderall (ADHD)

Category: Stimulant

Magnesium Omega-3 Fish Oil L-Theanine B-Complex Vitamin D3 Zinc Vitamin C (timing matters) Melatonin Iron Caffeine Supplements Ginseng Yohimbe

Timing: Take supplements 2+ hours away from Adderall. Take vitamin C in the evening only. Magnesium at bedtime helps with sleep.

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Antibiotics

Category: Antimicrobial

Probiotics B-Complex Vitamin C Vitamin D3 Vitamin K Zinc Iron Calcium (with fluoroquinolones) Magnesium (with fluoroquinolones)

Timing: Take probiotics at least 2 hours away from antibiotic doses. Continue probiotics for at least 7-14 days after finishing the antibiotic course.

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Benzodiazepines (Xanax, Valium, Klonopin)

Category: Anxiolytic/Sedative

Magnesium B-Complex Omega-3 Fish Oil Vitamin D3 Probiotics L-Theanine Melatonin CBD Kava Valerian Root GABA Supplements Phenibut

Timing: Do NOT combine with any sedating supplements. If you currently take sedating supplements and are starting a benzodiazepine, inform your doctor immediately.

Beta-Blockers (Metoprolol, Atenolol, Propranolol)

Category: Antihypertensive

CoQ10 Melatonin Magnesium Vitamin D3 Omega-3 Fish Oil B-Complex Potassium Hawthorn Berry Garlic Supplements High-Dose Calcium Ephedra/Ma Huang Bitter Orange (Synephrine)

Timing: Take CoQ10 with meals for absorption. Melatonin at bedtime to restore sleep disrupted by beta-blockers.

Birth Control Pills

Category: Hormonal Contraceptive

B-Complex Magnesium Zinc Vitamin C Omega-3 Fish Oil Vitamin D3 Probiotics DIM (Diindolylmethane) Vitex (Chasteberry) St. John's Wort Activated Charcoal

Timing: Take supplements with meals. Avoid activated charcoal within 3 hours of birth control pill.

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Blood Pressure Medications

Category: Antihypertensive

CoQ10 Magnesium Omega-3 Fish Oil Vitamin D3 Probiotics B-Complex Potassium Hawthorn Berry Garlic Supplements Licorice Root Ephedra/Ma Huang Yohimbe

Timing: Take magnesium in the evening; it may enhance the nighttime BP-lowering effect. Monitor BP regularly when adding supplements.

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Levothyroxine (Hypothyroidism)

Category: Thyroid Hormone

Selenium Zinc Vitamin D3 Vitamin B12 Omega-3 Fish Oil Iodine Ashwagandha L-Tyrosine Calcium (within 4 hours) Iron (within 4 hours) Magnesium (within 4 hours) Soy Isoflavones

Timing: CRITICAL: Take levothyroxine first thing in the morning on an empty stomach with water only. Wait 30-60 minutes before eating. Wait 4+ hours before taking ANY mineral supplement.

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Metformin (Diabetes)

Category: Antidiabetic

Vitamin B12 Folate Vitamin D3 Magnesium Chromium Omega-3 Fish Oil Alpha-Lipoic Acid CoQ10 Berberine Cinnamon Extract Alcohol-Based Tinctures Bitter Melon

Timing: Take B12 and folate at least 2 hours apart from metformin for optimal absorption. Take metformin with meals.

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NSAIDs (Ibuprofen, Naproxen)

Category: Pain/Anti-inflammatory

Omega-3 Fish Oil Curcumin (Turmeric) Probiotics Vitamin C Folate Vitamin D3 Iron Ginger White Willow Bark Aspirin or Other NSAIDs High-Dose Vitamin E

Timing: Take NSAIDs with food to protect the stomach. Omega-3 and curcumin taken regularly may reduce NSAID dependence over time.

PPIs (Acid Reflux)

Category: Proton Pump Inhibitor

Vitamin B12 Magnesium Calcium Iron Vitamin C Probiotics Vitamin D3 Zinc Digestive Enzymes Apple Cider Vinegar Betaine HCl High-Dose Mineral Blends

Timing: Take ALL supplements at least 2 hours after your PPI dose. Use sublingual B12 and chelated mineral forms for better absorption.

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SSRIs (Antidepressants)

Category: Antidepressant

Omega-3 Fish Oil Magnesium B-Complex Vitamin D3 Zinc Probiotics Vitamin C SAMe Melatonin Curcumin St. John's Wort 5-HTP L-Tryptophan

Timing: Take supplements with meals for consistent absorption. Maintain a regular schedule alongside your SSRI.

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Statins (Cholesterol)

Category: Cholesterol-Lowering

CoQ10 Vitamin D3 Omega-3 Fish Oil Vitamin K2 Magnesium Probiotics Niacin (Vitamin B3) Vitamin A Citrus Bergamot Red Yeast Rice Grapefruit Extract St. John's Wort

Timing: Take CoQ10 with a fat-containing meal for absorption. If taking a statin at night, take CoQ10 earlier in the day.

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Steroids (Prednisone, etc.)

Category: Corticosteroid

Calcium Vitamin D3 Magnesium Zinc Vitamin C Probiotics B-Complex Potassium Melatonin DHEA High-Dose Vitamin A Echinacea

Timing: Long-term steroid use requires bone density monitoring. Start calcium + D3 supplementation immediately when beginning steroid therapy.

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Thyroid Medications

Category: Hormone Replacement

Selenium Zinc Vitamin D3 B-Complex Omega-3 Fish Oil Iodine Ashwagandha Calcium (within 4 hours) Iron (within 4 hours) Magnesium (within 4 hours)

Timing: CRITICAL: Take thyroid medication on an empty stomach, 30-60 minutes before food. Wait at least 4 hours before taking any mineral supplements.

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Warfarin (Blood Thinner)

Category: Anticoagulant

Vitamin D3 Probiotics Vitamin C B-Complex Omega-3 Fish Oil Magnesium CoQ10 Vitamin K Supplements Garlic Supplements Ginkgo Biloba High-Dose Ginger

Timing: CONSULT YOUR DOCTOR before taking ANY new supplement. Maintain consistent vitamin K dietary intake. Have INR checked after any supplement changes.

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Interaction Legend

Safe — Beneficial or no interaction
Caution — May interact, use under supervision
Avoid — Dangerous interaction risk