

NAD deficiency, congenital malformations and niacin supplementation. Taking zinc with niacin might worsen niacin side effects, such as flushing and itching. Research indicates that taking niacin with these cholesterol medications offers little additional benefit when compared with statins alone, and might increase the risk of side effects. These drugs, herbs and supplements, like niacin, cause liver damage.

Hepatotoxic drugs, herbs and supplements.You might need to adjust the dose of your diabetes drugs. Here’s another blog I wrote on isolating your triggers. The most common triggers for flushing are anxiety, heat, hot drinks (especially coffee), and alcohol. For example, one of mine is certain types of green tea. If you have diabetes, niacin can interfere with blood glucose control. Basically, if something makes you flush immediately or over the next 24 hours, it’s probably a trigger. If you have diabetes and take niacin and chromium, closely monitor your blood sugar levels. Taking niacin with chromium might lower your blood sugar. This could increase your risk of low blood pressure (hypotension). Niacin might have an additive effect when you take blood pressure drugs, herbs or supplements. Blood pressure drugs, herbs and supplements.Taking niacin with them might increase your risk of bleeding. These types of drugs, herbs and supplements reduce blood clotting. Anticoagulant and anti-platelet drugs, herbs and supplements.If you're taking niacin and have gout, you might need to take more of this gout medicine to control your gout.

Taking niacin with alcohol might increase the risk of liver damage and worsen niacin side effects, such as flushing and itching.
