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Interaction checker 147 medicines · FDA-sourced
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Try a sample: Zoloft + Advil · Flagyl + alcohol Private, nothing stored
147Medicines, supplements and substances
10,731Drug combinations covered
80Interaction rules from FDA labels
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Start with the medicines you take

Every medicine has its own page listing what it interacts with, sorted from most to least serious.

See all 147 drugs A to Z

Every answer shows its work

Not just a warning. The reason, the fix, and the source.

Here is a real result from the checker, broken down. Every combination you check gets the same three parts.

  1. 1
    Plain-English explanationWhat actually happens in your body when the two are combined, written for real people.
  2. 2
    A clear next stepAvoid it, space the doses, watch for symptoms, or talk to your prescriber.
  3. 3
    The FDA label, quotedThe exact wording from the official label, linked so you can read it yourself.
Sertraline + IbuprofenUse caution
1

Higher bleeding risk

SSRI and SNRI antidepressants affect how platelets work. Taken with NSAIDs, aspirin or blood thinners, they raise the risk of bleeding, including stomach bleeding and easy bruising.

2
What to do: Occasional use is often acceptable, but ask your doctor about regular use. Report black stools, vomiting blood or unusual bruising.
3
“Intervention: Inform patients of the increased risk of bleeding associated with the concomitant use of sertraline hydrochloride and antiplatelet agents and anticoagulants.” FDA label for Sertraline, Drug Interactions section · View on DailyMed
Severity levels

Know at a glance what needs attention

Each combination gets one of four levels, based on how strongly the FDA labeling warns about it.

Most seriousLeast serious
Avoid / serious

Can cause serious harm

Dangerous sedation, major bleeding or toxic drug levels. Usually a boxed warning or contraindication.

ExampleHydrocodone + Gabapentin
Use caution

Needs precautions

Often used together, but with monitoring, careful timing or a dose change.

ExampleIbuprofen + Naproxen
Minor

Small or timing effect

Low impact, usually managed by spacing doses apart or a simple step.

ExamplePepcid + Prilosec
No known interaction

Nothing listed

Neither FDA label lists the other drug or its class. Reassuring, but not a guarantee.

ExampleIbuprofen + Tylenol
Most-searched questions

In-depth interaction guides

Detailed answers to the combinations people search for most, with who is at risk and what to do.

ITNo known interaction

Ibuprofen + Tylenol

Yes. There is no known interaction between ibuprofen (Advil, Motrin) and acetaminophen (Tylenol). They work in different ways, so doctors often suggest taking them together or alternating them for pain or fever. The real risk is not the combination itself. It is accidentally taking more of either one than the label allows, often through cold, flu or sleep products that contain the same ingredient.

3 min readRead guide →
ANNo known interaction

Acetaminophen + Naproxen

Yes. Acetaminophen (Tylenol) and naproxen (Aleve) have no known interaction, and they are often used together for arthritis, back pain, dental pain and injuries. Naproxen lasts much longer than most pain relievers, so acetaminophen can be added in between for extra relief. Be careful with the “PM” versions: Tylenol PM and Aleve PM both contain the sleep aid diphenhydramine, so taking both doubles it.

3 min readRead guide →
STUse caution

Sildenafil + Tadalafil

No, not unless a doctor has specifically told you to. Sildenafil (Viagra) and tadalafil (Cialis) are both PDE5 inhibitors that work the same way. The FDA labels say the safety of combining them has not been studied, and doubling up can drop your blood pressure and increase side effects without a proven extra benefit. If one is not working well enough, talk to your prescriber about changing the dose, timing or medicine instead.

3 min readRead guide →
FOMinor

Famotidine + Omeprazole

Yes, there is no harmful interaction, and doctors sometimes prescribe them together, for example omeprazole in the morning with famotidine at bedtime for nighttime symptoms. For most people treating heartburn on their own, though, one medicine is enough. If you feel you need both, or need either one for longer than the label allows, it is time to see a doctor.

3 min readRead guide →
INUse caution

Ibuprofen + Naproxen

No. Ibuprofen (Advil, Motrin) and naproxen (Aleve) are both NSAIDs, and their labels say not to use them with other NSAIDs. Taking both does not give much extra pain relief, but it does raise the risk of stomach bleeding, ulcers and kidney problems. Pick one. If you need more relief, acetaminophen (Tylenol) can be added because it works differently and does not interact with either.

3 min readRead guide →
IAUse caution

Ibuprofen + Alcohol

An occasional drink with a normal dose of ibuprofen (Advil, Motrin) is unlikely to cause problems for most healthy adults. But alcohol and ibuprofen both irritate the stomach, and the ibuprofen label warns that having 3 or more alcoholic drinks every day while using it raises the chance of stomach bleeding. Avoid combining them if you drink heavily, have had ulcers, take a blood thinner, or have kidney problems.

3 min readRead guide →
HGAvoid / serious

Hydrocodone + Gabapentin

Only if your prescriber has planned it and knows you take both. Doctors do sometimes prescribe hydrocodone (Norco, Vicodin) and gabapentin (Neurontin) together for pain, but both slow down the brain and breathing. The gabapentin label warns that using it with opioids has caused serious breathing problems and sedation, sometimes resulting in death. Never start one on your own while taking the other, and never add alcohol or other sedatives.

3 min readRead guide →
MONo known interaction

Metformin + Ozempic

Yes. Metformin and Ozempic (semaglutide) do not have a harmful interaction, and they are one of the most common pairings for type 2 diabetes. Ozempic was studied in people already taking metformin. The main thing to expect is overlapping stomach side effects such as nausea and diarrhea, especially in the first weeks or after a dose increase.

3 min readRead guide →
WAUse caution

Wellbutrin + Adderall

Sometimes, but only under a prescriber's supervision. Doctors do combine bupropion (Wellbutrin) and Adderall, for example for ADHD with depression. There are two cautions: bupropion lowers the seizure threshold, and stimulants can add to that risk. Bupropion also blocks the liver enzyme CYP2D6, which can raise amphetamine levels in the body.

3 min readRead guide →

View all interaction guides

How it works

Three steps, about ten seconds

Zol
AdvilAlcoholZoloft
1STEP ONE

Add what you take

Brand or generic names, plus pain relievers, sleep aids, supplements and alcohol.

Zoloft + Advil Caution
Zoloft + Alcohol Caution
Advil + Alcohol Caution
2STEP TWO

Every pair is checked

Each combination is matched against 80 rules built from FDA labeling, right in your browser.

Use cautionHigher bleeding risk
FDA label quote
3STEP THREE

Read the why and the source

See what happens, what to do, and the exact FDA label wording behind it.

Where our data comes from

From official label to your answer

FDA drug labelsPrescribing information and Drug Facts labels for every medicine we cover.149 LABELS
Interaction rulesMedicines grouped by drug class, with rules for each risky combination.80 RULES
Source checkAn automated check confirms each cited label really contains the warning.71 VERIFIED QUOTES
Your resultA plain-English answer with the label quote and a link to read it yourself.FREE, PRIVATE
U.S. Food and Drug AdministrationOfficial drug labeling, via openFDA
DailyMed, National Library of MedicineLinked from every warning
NIAAA, National Institutes of HealthMixing alcohol with medicines
AI helps us write clear explanations, but it never decides whether an interaction exists. Read our method
Questions

Common questions

01Is this drug interaction checker free?

Yes. The checker and every guide on this site are free to use, with no sign-up.

02Where does the interaction information come from?

Every warning is built from official FDA drug labeling, the prescribing information and Drug Facts labels published on DailyMed by the U.S. National Library of Medicine. Each warning shows the label wording it is based on, with a link to the full label.

03What does No known interaction mean?

It means neither FDA label lists the other medicine or its drug class as an interaction, and our rules found no match. It is reassuring, but it is not a guarantee. Your dose, age, health conditions and other medicines still matter.

04Can I use this instead of asking my pharmacist?

No. Use it to prepare better questions. Your pharmacist can see all your prescriptions, doses and health conditions, which a general tool cannot.

05Does the checker store the medicines I enter?

No. The check runs entirely in your browser. The medicines you type are not sent to our server or saved.

This site provides general information for education. It is not medical advice and does not replace your doctor or pharmacist. Never start, stop or change a medicine based on this site alone. In an emergency, call 911 or Poison Control at 1-800-222-1222.

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