Short answer

We found no documented interaction between Multivitamin and NAC 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.

Multivitamin

What it is: A combination of vitamins and minerals in one supplement.

What the research says: A multivitamin raises your daily nutrient intake; it's hard to show it prevents disease. It can't replace a varied diet.

Cautions

• A basic multivitamin is unlikely to cause harm, but check your total intake if you also take other supplements or fortified foods.
• Smokers should avoid multivitamins with large amounts of beta-carotene or vitamin A.

Medicines to check

• Warfarin: talk to your clinician before any supplement with vitamin K

In Holitro: Multivitamin

Source: NIH Office of Dietary Supplements: Multivitamin/mineral Supplements: Fact Sheet for Consumers (updated February 2024)

NAC (N-acetylcysteine)

What it is: An antioxidant that's both a hospital medicine (for acetaminophen overdose) and a supplement.

What the research says: As a medicine it treats acetaminophen poisoning. As a supplement, results for lung conditions and as an add-on for depression are mixed.

Cautions

• It can cause stomach upset, nausea, diarrhea, tiredness or rash; less often low blood pressure or headache.

Medicines to check

• Nitroglycerin: don't combine (severe headaches, lower blood pressure)
• Antidepressants: animal studies suggest NAC may strengthen their effect
• Cancer treatment: check with your care team

In Holitro: NAC (600 mg per capsule)

Source: Memorial Sloan Kettering Cancer Center, About Herbs: N-Acetylcysteine (updated October 2022)

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

Check your stack — 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.