Metformin and NAD+

Supplement–drug interaction evidence from the TruthStack database.

SeverityINFO
Evidence TierModerate
Interaction TypeSYNERGISTIC
MechanismPHARMACODYNAMIC
Last Reviewed2026-02-24

Summary

Metformin activates AMPK which increases NAD+ biosynthesis. Complementary effects on cellular energy metabolism. No adverse interaction documented.

CYP Enzyme Profiles

Published CYP enzyme data for compounds in this interaction:

Metformin: P-gp substrate (moderate)

API Reference

GET https://api.truthstack.co/v1/check?c1=Metformin&c2=NAD%2B

Open, unauthenticated. Returns JSON. Developer documentation

Sources

Primary: 31804424

Related Interactions

What this page is and is not. TruthStack is an informational reference database that describes published pharmacological findings. It does not provide medical advice, diagnosis, or treatment recommendations. The information on this page reflects flags in our database and should not replace consultation with a qualified healthcare provider. Always discuss supplement-drug combinations with your prescriber or pharmacist.