Supplement × Prescription·a caution·Emerging evidence

Curcumin Phytosome + Rifampin

Caution Emerging evidence

Rifampin can lower exposure to orally administered curcumin, while curcumin may inhibit some enzymes and transporters; the net effect is reduced and unpredictable curcumin bioavailability when taken with rifampin.

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Pair type
Caution
Evidence
Emerging
Source citations
2
Scope
Supplement × Prescription
Last verified
June 4, 2026
CautionEmerging evidence

What is happening. Rifampin can lower exposure to orally administered curcumin, while curcumin may inhibit some enzymes and transporters; the net effect is reduced and unpredictable curcumin bioavailability when taken with rifampin.

Mechanism. Rifampin induces intestinal and hepatic CYP3A4, UGT-mediated glucuronidation, and P-glycoprotein, accelerating first-pass metabolism and efflux of curcumin, which is already heavily glucuronidated and sulfated.

Recommendation. Do not rely on curcumin supplements to produce consistent effects during rifampin therapy, as its already-low bioavailability may be further reduced. There is no need to stop curcumin for safety, but expect diminished and variable effect.

Stack Score

How it moves the number.

Effect on the composite score

If both Curcumin Phytosome and Rifampin 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 at /methodology/stack-score.

Sources

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Reference material

2
  • 1Volak LP, et al. Curcuminoids inhibit multiple human cytochromes P450, UDP-glucuronosyltransferase, and sulfotransferase enzymes. Br J Pharmacol. 2008.Needs sourceNo link
  • 2Bahramsoltani R, et al. Pharmacokinetic interactions of curcuminoids with conventional drugs: a review. J Ethnopharmacol. 2017.Needs sourceNo link

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