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Does the Berberine in Phytomem One Interact With Medicines?

Quick answer

Yes, it may. Berberine HCl is one of the ten names in Phytomem One. In one study, 900 mg a day slowed three liver enzymes that clear many drugs, and berberine can lower blood sugar. The tablet's berberine amount is not published, so ask a doctor or pharmacist first if you take any medicine.

Medically reviewed by Dr. Madeeha Shahzadi, MD PulmonologistReviewed

Last updated Written by the Phytomem Editorial Desk

A gray-haired man in a cardigan winding a wooden mantel clock at home

People search for Phytomem warnings because the label caution is short. It tells some groups to see a physician, but it does not name a single medicine. The gap is filled by what is known about the ingredients one by one.

This guide walks through berberine first, since it carries the most interaction notes, then the other nine names. None of it is a test of the tablet, and none of it replaces your pharmacist.

Key facts

Key facts: what should you know first?

  • Berberine HCl is on the label, inside a 458 mg blend with nine other names. Its own amount is not published.
  • A two-week study found 900 mg a day slowed three liver enzymes (CYP2D6, CYP2C9 and CYP3A4) that break down many drugs.
  • Berberine can lower blood sugar and may add to diabetes medicine. A berberine herb cut metformin levels by about 25% in healthy adults.
  • Berberine has a known interaction with cyclosporine, a transplant drug.
  • Olive leaf may lower blood pressure, fucoidan may slightly raise bleeding risk, and kudzu may interact with tamoxifen and methotrexate.
  • Stomach and bowel upset is the side effect most often reported for berberine.

Liver enzymes

How can berberine change how other medicines work?

Many common drugs are broken down by liver enzymes. In a study of healthy volunteers, 300 mg of berberine taken three times a day for two weeks, 900 mg in all, slowed three of those enzymes: CYP2D6, CYP2C9 and CYP3A4 (Guo et al., 2012). When an enzyme slows, a drug it normally clears can build up in the blood.

That is a study of berberine, not of Phytomem One. The tablet's whole blend weighs 458 mg, so it cannot hold that exact dose of berberine and nine other names. But a smaller dose is not automatically a safe one, and the real amount is unpublished. The sensible reading is: treat the warning as real until a pharmacist tells you otherwise.

Blood sugar

Is it a problem if you take diabetes medicine?

It can be. Berberine is studied for blood sugar. A review of 37 trials with 3,048 people who had type 2 diabetes found lower fasting blood sugar and HbA1c, mostly at 0.9 to 2.4 g a day (Chen et al., 2022). A health agency page warns that herbs which lower blood sugar can cause unwanted effects when combined with diabetes medicine (NCCIH, diabetes and dietary supplements).

In another case, goldenseal, a herb that contains berberine, cut metformin levels by about 25% in healthy adults (NCCIH, goldenseal). That does not mean the tablet will do the same. It means a doctor should see the list if you take metformin or any other diabetes drug.

Know these signs: Shaking, sweating, sudden hunger or confusion, especially on diabetes medicine, are reasons to stop the tablet and get medical help the same day.

At a glance

Which medicines should you check before starting?

Medicine groups and the reason to check
If you takeWhy to checkSource
Diabetes medicine, including metforminBerberine can lower blood sugar; a berberine herb cut metformin levels(NCCIH, diabetes and dietary supplements) (NCCIH, goldenseal)
Drugs cleared by the liverBerberine slowed three drug-clearing enzymes(Guo et al., 2012)
CyclosporineKnown interaction with berberine(NCCIH, berberine and weight loss)
Blood thinnersFucoidan may slightly raise bleeding risk(ADDF Cognitive Vitality, fucoidan)
Blood pressure medicineOlive leaf may modestly lower blood pressure(Ismail et al., 2021)
Tamoxifen or methotrexateKudzu may interact with both(MSKCC, kudzu)
Mental health medicineSaffron may interact with some(MD Anderson, saffron)

The list is not complete, and it is not a diagnosis. It shows why a pharmacist's five-minute look at the label is worth more than any web page.

Other ingredients

Do the other nine names carry warnings?

Morosil and oleuropein have fewer safety reports. Fewer reports can mean gentle, or it can mean less research.

Side effects

What side effects are most likely?

Stomach and bowel complaints are the side effects most often reported for berberine (NCCIH, berberine and weight loss). Taking the tablet with a meal is the first adjustment, and the brand's own wording says with food. If upset lasts more than a few days or anything new appears, stop and speak with a doctor before restarting.

For liver injury, one reference rates berberine an unlikely cause at usual doses of 250 to 500 mg two or three times a day (LiverTox, berberine). Still, yellow skin or eyes and very dark urine are reasons to stop and call a doctor the same day. Call 911 for trouble breathing, a swollen face or throat, or fainting.

What to do

How do you check your own risk in five minutes?

  1. Photograph the front and back of the bottle, or bring it.
  2. Write the ten names from the blend: xylitol, Ceylon cinnamon, corosolic acid, saffron, fucoxanthin, fucoidan, Citrus sinensis, kudzu, oleuropein and berberine HCl.
  3. List every medicine and supplement you take, with doses.
  4. Ask a pharmacist or doctor whether any of them clash, and say plainly that the berberine amount is not published.
  5. If the answer is no, or a maybe, do not start until you have a yes in writing.

Phytomem One is a dietary supplement. It is not FDA approved, and the FDA says it does not approve supplements (FDA, dietary supplement Q&A). It does not treat memory loss or any disease.

FAQ

Frequently asked questions

Does Phytomem One interact with medicines?

It may. Berberine, one of its ten names, slowed three drug-clearing liver enzymes in a study and can lower blood sugar. The tablet's berberine amount is not published.

Can I take Phytomem One with metformin?

Ask your doctor first. A berberine herb cut metformin levels by about 25% in healthy adults, and berberine can lower blood sugar.

What medicines should I check with a pharmacist?

Diabetes drugs, blood thinners, blood pressure medicine, transplant drugs such as cyclosporine, tamoxifen, methotrexate, mental health drugs and anything cleared by the liver.

Does the label list drug warnings?

The label caution tells pregnant or nursing mothers, people under 18 and people with a known medical condition to consult a physician. It names no medicine.

What is the most common side effect?

Stomach and bowel upset is the side effect most often reported for berberine. Taking the tablet with food may help.

When should I stop the tablet?

Stop and get medical help for yellow skin or eyes, very dark urine, shaking or confusion on diabetes medicine, easy bleeding, a spreading rash or fainting.

Our view

Our view

The honest answer is that nobody can tell you how this tablet will behave beside your medicines, because the amounts are not published and no study of the tablet exists. What can be said is that one of its ten names, berberine, has a well-documented habit of changing how other drugs are handled.

That is not a reason for alarm, and it is not a reason to skip the question either. If you take any prescription, show the label to the person who knows your list. If you take none, the usual cautions still apply: one tablet a day, with food, away from pets and children.

Last updated . Written by the Phytomem Editorial Desk. Medically reviewed by Dr. Madeeha Shahzadi, MD Pulmonologist. This page is general information, not medical advice. Phytomem One is a dietary supplement. It is not FDA approved, and it does not treat or prevent any disease. Ask your own doctor about your own case.