Interaction databaseSupplement × SupplementReviewed May 2026

Artemisinin and NAC, a caution.

NAC is a potent antioxidant that can quench the reactive oxygen species artemisinin depends on, potentially reducing artemisinin's pro-oxidant effect.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

Sourcing standards·Evidence tiers

From the interaction database

What the row says.

Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.

At a glance

Substances
Artemisinin and NAC
Pair type
Caution
Evidence (highest tier)
Emerging
Source citations
1 source
Stack Score effect
−5 to your Stack Score (per scored caution row).
Scope
Supplement × Supplement
Last verified
May 30, 2026

Caution · Emerging evidence

Caution

What is happening. NAC is a potent antioxidant that can quench the reactive oxygen species artemisinin depends on, potentially reducing artemisinin's pro-oxidant effect.

Mechanism. Artemisinin works by generating free radicals after iron-mediated endoperoxide cleavage, while NAC replenishes glutathione and scavenges reactive oxygen species, which can antagonize the radical-mediated effect.

Recommendation. Avoid taking high-dose NAC alongside artemisinin if the goal is artemisinin's oxidative activity, separating their use or discussing timing with a clinician.

Sources (1)
  1. Meshnick SR, Artemisinin: mechanisms of action, resistance and toxicity, International Journal for Parasitology, 2002. Artemisinin: mechanisms of action, resistance and toxicity. Int J Parasitol. 2002. PMID 12435450

Stack Score

How this pair moves the number.

Effect on the composite score

If both Artemisinin and NAC are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).

The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.

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