Can I take Berberine with NR?

Understanding the interactions, benefits, and safety of combining these two powerful supplements.

Berberine
+
NR

Short answer

We found no documented interaction between Berberine and NR in the sources below. That isn't proof the combination is right for you: check each one's cautions, and ask your pharmacist if you take medication.

Berberine

What it is: A compound from plants such as barberry and goldenseal, used in Chinese and Ayurvedic medicine.

What the research says: It may lower cholesterol, triglycerides and blood sugar, but the effect may be small and lifestyle changes are still needed.

Cautions

  • Mild side effects can include appetite loss, upset stomach, diarrhea, constipation and rash.
  • Not for pregnancy or breastfeeding: it may harm newborns.

Medicines to check

  • Immune-suppressing drugs such as tacrolimus or cyclosporin: berberine may raise their levels
  • Some diabetes drugs (sulfonylureas)
  • Many prescription drugs processed by the liver: berberine may make them less effective
  • Bosutinib (a cancer drug)

In Holitro: Berberine 500mg (500 mg per capsule)

Source: Memorial Sloan Kettering Cancer Center, About Herbs: Berberine (updated June 2023)

NR (nicotinamide riboside)

What it is: A form of vitamin B3 that the body uses to make NAD+, a molecule involved in energy production.

What the research says: It reliably raises NAD+ levels and was well tolerated for weeks to months in trials, but effects on health and aging have been mixed or absent.

Cautions

  • Generally well tolerated in trials; long-term data are limited.

Medicines to check

  • Talk to your clinician if you take any medicine

In Holitro: NR (500 mg per capsule)

Source: PubMed review: NAD+ supplementation for anti-aging: systematic review (2026) (updated February 2026)

Check with your doctor or pharmacist, especially if you take medication.

Check your stack β€” free

Educational information only, not medical advice. This reflects general ingredient overlap, not a personalized safety review. Always check with your doctor or pharmacist before combining supplements, especially if you take medication, are pregnant or nursing, or manage a health condition. These statements have not been evaluated by the FDA.

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Balancing dosages across multiple different bottles is risky, inefficient, and expensive. Taking too much of one can blunt the absorption of the other.

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