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Arginine and blood pressure medicine: which interactions matter?

Quick answer

Arginine and blood pressure medicine can interact, because arginine may lower blood pressure and so add to the medicine. Mayo Clinic also lists nitrates, sildenafil-type medicines, blood thinners and diabetes medicines. Memorial Sloan Kettering warns against it after a heart attack. A MemoHoney capsule holds 400 mg of arginine, so ask a pharmacist first.

Written by the MemoHoney label deskUpdated

Blood pressure medicines

Can you take arginine with blood pressure medicine?

Not without asking first, because arginine can add to the effect of blood pressure medicine and let your pressure fall too far.

Memorial Sloan Kettering says arginine "may have additive hypotensive effects" with blood pressure medicines (MSK, Arginine). Mayo Clinic says the same: blood pressure may drop too low (Mayo Clinic, L-arginine). In 11 trials with 387 people, arginine at 4 to 24 g a day lowered systolic pressure by about 5 mm Hg compared with placebo (Dong 2011, arginine BP).

Those trials used grams. A MemoHoney capsule holds 400 mg across two arginine rows, so the result cannot be carried over to the capsule. Still, the label does not say how much arginine the "AKG 2:1 extract" holds, and nobody has measured what a capsule does to your pressure on top of your medicine. Do not stop or change a prescribed medicine on your own.

Nitrates and ED medicines

Is arginine safe with nitrates or sildenafil?

No, not without a doctor's approval: Mayo Clinic says arginine with nitrates or sildenafil "might cause your blood pressure to become too low" (Mayo Clinic, L-arginine).

Nitrates are chest pain medicines such as nitroglycerin and isosorbide. Sildenafil-type medicines are the erectile dysfunction pills sold under several names. Both widen blood vessels, and arginine is sold as a building block for a gas that does the same. Two pushes in the same direction can add up.

The table sets out what Mayo Clinic and Memorial Sloan Kettering list, in plain words. It states what the sources say about the amino acid, not what a MemoHoney capsule has been shown to do.

Medicines that can clash with arginine, as the sources list them
Medicine typeWhat the sources sayWhat to do
Nitrates (chest pain)Blood pressure might become too low (Mayo Clinic, L-arginine)Ask your doctor before any arginine product
Sildenafil-type (ED)Blood pressure might become too low (Mayo Clinic, L-arginine)Ask your doctor or pharmacist
Blood pressure medicinesAdditive pressure-lowering effect (MSK, Arginine)Keep taking your medicine; ask first
Blood thinnersMight raise the risk of bleeding (Mayo Clinic, L-arginine)Ask your doctor or pharmacist
Diabetes medicinesMight lower blood sugar further (Mayo Clinic, L-arginine)Ask first; watch your readings

Thinners and diabetes

Does arginine interact with blood thinners or diabetes medicine?

It may: Mayo Clinic says arginine might raise the risk of bleeding with blood thinners and might lower blood sugar in people with diabetes (Mayo Clinic, L-arginine).

That matters most if you already take warfarin, an anticoagulant or insulin, because the doses of those medicines are set carefully. If you do take one, tell your pharmacist about every supplement, even a small one. The NCCIH gives the same advice for all supplements: tell every health care provider what you take (NCCIH using supplements wisely).

After a heart attack

Who should avoid arginine altogether?

People who have had a recent heart attack should avoid arginine, because it was linked to more deaths in a trial.

In the VINTAGE MI trial, 153 patients after a heart attack took arginine or placebo for six months. Six on arginine died, and none on placebo; the safety committee closed enrollment (Schulman 2006, VINTAGE MI). Mayo Clinic says arginine is not recommended after a recent heart attack (Mayo Clinic, L-arginine).

Mayo Clinic also lists gout, asthma and allergy among the cautions, and stomach upset, bloating and diarrhea as common effects (Mayo Clinic, L-arginine). Under 18, pregnant or nursing: the MemoHoney label says to consult a physician first.

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Check yourself

How can you check your medicines before you start?

Answer the eight questions below, and then show the result to your pharmacist, who can check your full medicine list.

The questions come straight from the cautions above. A "yes" does not mean you are in danger. It means you should talk to someone before taking arginine.

1. Do you take a nitrate medicine (nitroglycerin, isosorbide) or use "poppers"?
2. Do you take sildenafil, tadalafil, vardenafil or another ED medicine?
3. Do you take a blood pressure medicine?
4. Do you take a blood thinner or have a bleeding problem?
5. Do you take insulin or another diabetes medicine?
6. Have you had a heart attack, or do you have heart disease?
7. Do you have gout, asthma, kidney or liver disease, or an allergy to amino acids?
8. Are you under 18, or do you have chest pain, fainting or trouble breathing right now?
Answer all 8Your result shows here. It is a checklist, not medical advice.

A checklist, not medical advice. It cannot see your medicine list.

Warning signs

What are the signs your blood pressure has dropped too far?

Feeling dizzy, faint or lightheaded when you stand up is the usual sign that your blood pressure has dropped too low.

FDA lists low blood pressure, fainting, hives, chest pain and severe or lasting nausea among the reactions to report. Stop the product and get help (FDA report a problem).

  1. Dizzy, faint or lightheaded on standingA sign blood pressure may be too low, especially with nitrates, ED medicines or blood pressure medicines. Sit or lie down, stop the capsules and call your doctor.
  2. Chest pain, fainting, trouble breathingCall 911 now. Do not drive yourself, and do not wait for a supplement to help.
  3. Stomach pain, bloating or diarrheaThe common side effects of arginine. Stop and ask a clinician if they last.
  4. Rash, hives or swellingPossible allergy. Stop and get medical help; swelling of the face or throat or trouble breathing is an emergency.
  5. Memory slipping fast, getting lost, repeating questionsThese are warning signs NIA lists for a medical check. See a clinician rather than waiting for a supplement to help.

Signs from (Mayo Clinic, L-arginine) (NIA, Memory problems and aging) (FDA report a problem). This list is not complete. A supplement is never a reason to wait.

The MemoHoney label

What does this mean for MemoHoney capsules?

MemoHoney contains two arginine rows, 200 mg of L-arginine base and 200 mg of L-arginine AKG 2:1 extract, so every caution above applies to it (MemoHoney label).

The label tells you to consult a physician if you have a known medical condition. It does not list the interactions above, so the label alone will not warn you. Take the question to a pharmacist with your medicine list. The side effects page and the who it's for page cover the rest. Memory problems that are new, getting worse or getting in the way of daily life need a clinician, not a supplement.

Keep taking prescribed medicine

Never stop a prescribed medicine because of a supplement. Chest pain, fainting or trouble breathing: call 911.

FAQ

Arginine and medicines: common questions

Can I take arginine if I am on blood pressure medicine?

Only after asking your doctor or pharmacist. Arginine may lower blood pressure, and Memorial Sloan Kettering lists additive effects with blood pressure medicines. Do not stop or change your own medicine to make room for a supplement.

Does arginine interact with nitroglycerin?

Yes, Mayo Clinic lists nitrates as an interaction, because blood pressure might fall too low. Nitroglycerin and isosorbide are nitrates. If you take one, ask your doctor before using any arginine product.

Is arginine safe with Viagra or Cialis?

Mayo Clinic says arginine with sildenafil might cause blood pressure to become too low. Cialis-type medicines work in a similar way. Ask your doctor or pharmacist before you combine them.

Does arginine thin the blood?

Arginine is not a blood thinner, but Mayo Clinic says it might raise bleeding risk when taken with blood thinners. If you take warfarin or another anticoagulant, ask your pharmacist before you take arginine.

Can arginine affect blood sugar?

Mayo Clinic says arginine might lower blood sugar in people with diabetes. If you take insulin or another diabetes medicine, ask your doctor first and keep checking your readings.

How long before a medicine should I avoid arginine?

We found no source that gives a safe gap between arginine and a medicine. The sources warn about the combination, not the timing. A pharmacist can say whether your medicines can be combined at all.

Why is arginine not recommended after a heart attack?

In the VINTAGE MI trial, 6 of 153 patients on arginine died within six months, and none on placebo did. The trial closed early. The authors said arginine should not be recommended after an acute heart attack.

Who wrote this

Written and reviewed by

Written byThe MemoHoney label deskImemohoney, USA Authorized MemoHoney Retailer

Pages built from the label, the seller's brief and linked NIH, FDA, CDC, FTC and peer-reviewed sources.

Medically reviewed byDr. Neelum Aggarwal, MD, PhysicianRole: Medical reviewerReview date: October 31, 2026

Last updated . Read our editorial standards and how we check reviews. This website is the information site of a USA Authorized MemoHoney Retailer. It is not the manufacturer, and the label names INSTITUTO EXPERIENCE (Ogden, Utah) as the distributor. We earn money when you buy through our order links.

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