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Safety

BloodPril Side Effects: Safety, Interactions and Warning Signs

Written by the BloodPril editorial team · Last updated · 9 min read · Medical review below

Quick answerSide effects reported for L-arginine and L-citrulline include stomach upset, bloating, diarrhea and low blood pressure that can make you dizzy. The bigger risk is mixing them with blood pressure drugs, nitrates or sildenafil-type drugs. No safety trial of BloodPril itself is published. Never stop prescribed medicine, and ask your doctor before you start.

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Inside BloodPril graphic from the brand: L-arginine, L-arginine alpha-ketoglutarate, L-citrulline DL-malate, L-arginine HCL and capsule format around a bottle
Overview

What side effects can BloodPril cause?

The side effects reported for BloodPril's ingredients are stomach upset, bloating, diarrhea and blood pressure that drops too low. Most of these reports come from people taking several grams a day of arginine or citrulline.

Each BloodPril capsule holds a 500 mg blend of three amino-acid forms. No study has looked at side effects of this exact capsule. So the safest approach is to know what the ingredients can do and to watch how you feel.

At a glance

Side effects at a glance

The table lists the effects named in the medical sources, what each one feels like, and a sensible first step. None of these sources tested a 500 mg blend, so treat them as things to watch for, not a forecast.

Side effects reported for L-arginine and L-citrulline in general use, not in a study of this capsule.
Possible effectWhat it can feel likeWhat to doSource
Stomach upset or crampsMild ache or queasy feeling after a doseTake it with the full 8 oz of water; stop if it keeps happening(Mayo Clinic, L-arginine)
Bloating and gasA full, tight bellyUsually eases; stop if it lasts more than a few days(Mayo Clinic, L-arginine)
DiarrheaLoose stoolsDrink fluids; stop and call your doctor if it continues(MSKCC, Arginine)
Low blood pressureDizzy or lightheaded, mostly when standingSit down, check with a cuff, call your doctor(WebMD, L-citrulline)
Arginine

L-arginine side effects: what is reported?

L-arginine is usually well tolerated, but it can upset the stomach. Mayo Clinic lists stomach pain, bloating, diarrhea and low blood pressure (Mayo Clinic, L-arginine). Memorial Sloan Kettering adds that arginine can lower blood pressure enough to matter with medicine (MSKCC, Arginine).

BloodPril has two arginine forms: L-arginine alpha-ketoglutarate (AAKG) and L-arginine HCL. The AAKG studies were exercise studies. In one, trained men took 12 g a day for 8 weeks and it appeared safe in that group (Campbell et al., 2006).

Gut effects tend to rise with dose. If your stomach is sensitive, take the capsule with the full 8 oz glass of water the label asks for. Stop if the upset keeps coming back.

Citrulline

L-citrulline side effects: what is reported?

L-citrulline is rated possibly safe for short-term use. WebMD notes it might lower blood pressure, so it can add to blood pressure drugs and nitrates (WebMD, L-citrulline).

Citrulline is the first and largest ingredient in BloodPril. Your kidneys turn it into arginine. Taken by mouth, it raises blood arginine more efficiently than arginine itself (Schwedhelm et al., 2008). That is useful, and it is also why the same blood pressure cautions apply to it.

The L-citrulline DL-malate page covers the research in more detail.

Nitric oxide

Nitric oxide side effects: why blood pressure is the main concern

Nitric oxide is a gas your body makes to relax blood vessels. Arginine and citrulline are building blocks for it. When vessels relax, pressure can drop.

For most people a small change goes unnoticed. The trouble starts when several things push pressure down at once. Examples include a blood pressure pill, a nitrate, a sildenafil-type drug, a hot day or not drinking enough water.

The how it works page explains the pathway step by step.

Low pressure

Low blood pressure symptoms to watch for

Low blood pressure often shows up as dizziness when you stand. Some people feel weak, see spots or feel sick to their stomach. Fainting is the sign to take most seriously.

Signs your pressure may be too low

  • Dizziness or lightheadedness, mostly when you stand up
  • Fainting, or feeling like you are about to faint
  • Blurred or dimmed vision
  • Unusual tiredness or weakness
  • Nausea
  • Cold, clammy or pale skin

If you feel dizzy or faint

Sit or lie down right away. When you feel steady, check your pressure with a home cuff and call your doctor. If you faint, hit your head or feel confused, get help at once.

Interactions

Which medicines interact with L-arginine and L-citrulline?

Interactions matter more than mild side effects. With blood pressure drugs, nitroglycerin or sildenafil, arginine may make pressure drop too low (Mayo Clinic, L-arginine). The table shows each group, why it matters and what to do.

Built from the Mayo Clinic, WebMD and MSKCC pages and the label caution. Bring the bottle when you ask your doctor or pharmacist.
Medicine or conditionWhy it mattersWhat to do
Blood pressure medicines (water pills, ACE inhibitors, ARBs, beta blockers, calcium channel blockers and others)Arginine and citrulline may add to the drop in pressureAsk your doctor first. Keep taking every dose as prescribed.
Nitrates, such as nitroglycerin or isosorbideBoth widen blood vessels; pressure may fall too farDo not combine unless your doctor says it is safe.
Sildenafil, tadalafil and similar drugsThey also relax blood vessels and lower pressureAsk your doctor or pharmacist before the first capsule.
Heart attack in the past, or heart diseaseAn arginine trial after heart attack had more deaths in the arginine groupTalk to your cardiologist. Do not start on your own.
Kidney or liver diseaseThese organs handle amino acids; the label asks you to consult a physicianAsk your specialist first.
Pregnancy, nursing, or under 18The label asks this group to consult a physicianAsk your doctor first.
Planned surgeryAnesthesia also affects blood pressureTell your surgical team about every supplement you take.
With medicine

L-arginine and blood pressure medication: a safe way to ask

Never stop, skip or change a prescribed blood pressure medicine because of a supplement. BloodPril is not a blood pressure medicine. If you want to try it, make it a joint decision with your doctor.

The guide to checking blood pressure at home shows the cuff method step by step (AHA, Home monitoring).

Heart attack

L-arginine after a heart attack: why the warning?

In the VINTAGE MI trial, people who had just had a heart attack took L-arginine for 6 months. It did not help their hearts or arteries, and more deaths occurred in the arginine group, so the trial was stopped early (Schulman et al., JAMA 2006).

That trial used far more arginine than one capsule holds. Even so, MSKCC advises caution with arginine after a heart attack (MSKCC, Arginine). If you have had a heart attack or live with heart disease, talk to your cardiologist before you take any arginine product.

Check first

Who should ask a doctor before taking BloodPril?

Answer five quick questions. Any answer that raises a flag means you should talk to your doctor before the first capsule. The who it is for page goes into each group.

  1. Are you an adult, 18 or older?

  2. Do you take blood pressure medicine, nitrates or a sildenafil-type drug?

  3. Have you had a heart attack or do you have heart disease?

  4. Have you had a reading over 180/120, or chest pain or sudden weakness?

  5. Are you pregnant or nursing, or do you have kidney or liver disease?

Answer each questionYour result appears here. It is a checklist, not medical advice.
Emergency

When to call 911: blood pressure warning signs

This is an emergency

A reading above 180/120 with any of the symptoms below needs 911 right away (AHA, Blood pressure readings). Do not wait to recheck, and do not take a supplement instead.

Call 911 if your reading is over 180/120 and you have

  • Chest pain
  • Shortness of breath
  • Back pain
  • Numbness or weakness
  • Change in vision
  • Trouble speaking

A very high reading without symptoms still needs attention. Wait a few minutes, check again, and call your doctor if it stays that high.

Stop rules

When should you stop taking BloodPril?

  1. Stop and get help now

    Fainting, chest pain, or any of the 911 warning signs above.

  2. Stop and call your doctor

    Dizziness that keeps coming back, readings much lower than usual, or diarrhea that does not settle.

  3. Pause and ask first

    Before surgery, when a new medicine is started, or if you become pregnant.

  4. Use the window

    If it simply does not suit you, call the order desk at +1 (302) 200-3480 inside the 60-day window.

Honest note

Honest note: what has not been tested

No safety trial of BloodPril itself has been published. The label also does not list how much of each ingredient is in the 500 mg blend.

The side effects in the sources came mostly from gram doses, many times more than one capsule. Whether a smaller amount causes fewer problems has not been studied. Start with the label directions, keep your cuff log, and read the full Supplement Facts label.

FAQ

BloodPril side effects FAQ: questions people ask

What are the side effects of BloodPril?

The side effects reported for its ingredients are stomach upset, bloating, diarrhea and blood pressure that drops too low. No study has tested BloodPril itself, so how often these happen with one capsule is not known.

What are the side effects of L-arginine?

Stomach pain, bloating, diarrhea and low blood pressure are the ones most often listed. L-arginine may also add to the effect of blood pressure drugs, nitrates and sildenafil-type drugs.

What are L-citrulline side effects?

L-citrulline is described as possibly safe for short-term use, with stomach upset reported in some people. Because it may lower blood pressure, it can add to blood pressure drugs and nitrates.

What are nitric oxide supplement side effects?

Most nitric oxide supplements use arginine or citrulline, so the side effects are the same: stomach upset and low blood pressure. Headache and lightheadedness can come with a drop in pressure.

Can I take L-arginine with blood pressure medication?

Only if your doctor agrees. Arginine may push your pressure lower than your medicine alone, which can cause dizziness or fainting. Never stop or cut back a prescribed medicine to make room for a supplement.

Can I take BloodPril with sildenafil or tadalafil?

Ask your doctor first. These drugs widen blood vessels, and arginine or citrulline may add to that effect and drop your pressure too low.

Is L-arginine safe after a heart attack?

It is not advised without your cardiologist. A trial of L-arginine after a heart attack was stopped early because more deaths occurred in the arginine group.

Can BloodPril make my blood pressure too low?

It is possible, mainly if you also take blood pressure medicine. Dizziness when you stand, blurry vision or fainting are signs to stop and call your doctor.

Can L-arginine cause diarrhea or bloating?

Yes, stomach upset, bloating and loose stools are reported with arginine, mostly at gram doses. Stop and ask your doctor if it does not settle within a few days.

What blood pressure reading is an emergency?

A reading above 180/120 with chest pain, shortness of breath, back pain, numbness, weakness, vision change or trouble speaking needs 911 right away.

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