N-Acetyl Glucosamine

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Are there any interactions with medications?



Warfarin (Coumadin)
Interaction Rating: Major Do not take this combination.

Warfarin (Coumadin) is used to slow blood clotting. There are several reports showing that taking glucosamine with or without chondroitin increase the effect of warfarin (Coumadin) on blood clotting. This can cause bruising and bleeding that can be serious. Don't take glucosamine if you are taking warfarin (Coumadin).



Medications for cancer (Chemotherapy)
Interaction Rating: Moderate Be cautious with this combination.
Talk with your health provider.

There is some concern that N-acetyl glucosamine might decrease the effectiveness of some medications for cancer. But it is too soon to know if this interaction occurs.



Medications for diabetes (Antidiabetes drugs)
Interaction Rating: Moderate Be cautious with this combination.
Talk with your health provider.

There has been concern that glucosamine might increase blood sugar in people with diabetes. There was also the concern that glucosamine might decrease how well medications used for diabetes work. However, research now indicates that glucosamine probably does not increase blood sugar in people with diabetes. Therefore, glucosamine probably does not interfere with diabetes medications. To be cautious, if you take N-acetyl glucosamine and have diabetes, monitor your blood sugar closely.

Some medications used for diabetes include glimepiride (Amaryl), glyburide (Diabeta, Glynase PresTab, Micronase), insulin, pioglitazone (Actos), rosiglitazone (Avandia), chlorpropamide (Diabinese), glipizide (Glucotrol), tolbutamide (Orinase), and others.



Acetaminophen (Tylenol, others)
Interaction Rating: Minor Be cautious with this combination.
Talk with your health provider.

There is some concern that taking glucosamine and acetaminophen (Tylenol, others) together might affect how well each works. But more information is needed to know if this interaction is a big concern.

Dosing considerations for N-acetyl Glucosamine.

The appropriate dose of N-acetyl glucosamine depends on several factors such as the user's age, health, and several other conditions. At this time there is not enough scientific information to determine an appropriate range of doses for N-acetyl glucosamine. Keep in mind that natural products are not always necessarily safe and dosages can be important. Be sure to follow relevant directions on product labels and consult your pharmacist or physician or other healthcare professional before using.


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