Bromelain Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Bromelain interacts with medications. The heart of this page is the interaction list — every drug Bromelain is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Bromelain is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check Bromelain against your medication
Add one medicationBromelain Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, the overall risk of a clinically significant Bromelain drug interaction appears low for most people. None of the listed interactions are rated major, and even the moderate ones rest mostly on theoretical or limited evidence rather than well-documented human studies.
The combination that deserves the most care is bromelain with anticoagulant or antiplatelet drugs, often called blood thinners. Bromelain is thought to make platelets less sticky, which could add to the bleeding effect of these medicines. The human evidence is thin, limited to a single report of minor bruising in a person taking bromelain with naproxen, but bleeding risk is one area where even a small added effect can matter. Beyond that, nothing in the profile stands out as well proven in people.
The long list of interacting medications reflects caution more than confirmed harm, since most concerns are predicted rather than shown in people. In fact, some predictions have not held up: lab work suggested bromelain could raise tetracycline antibiotic levels, but a study in healthy adults found no difference in blood levels with or without bromelain.
Based on HelloPharmacist’s Bromelain interaction data and reviewed under our editorial standards.
Drugs that interact with Bromelain
141 medications have a known interaction with Bromelain, graded by severity. Select any drug for the full evidence-based detail.
Don’t want to scroll the list? Just ask.
Tell us the medications you take and we’ll check each one against Bromelain using our pharmacist-reviewed interaction data.
AI summaries are generated from our Bromelain interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
AbciximabReoPro
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Abciximab interactionAbrocitinibCibinqo
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Abrocitinib interaction Abrocitinib drug page: uses, dosage & side effectsAcenocoumarolSintrom
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, IbuprofenCombogesic
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Acetaminophen, Ibuprofen interactionAcetylsalicylic AcidEntrophen
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Acetylsalicylic Acid interaction Acetylsalicylic Acid drug page: uses, dosage & side effectsAlteplase, TpaActilyse, Activase
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interaction Aluminum Hydroxide, Aspirin, Magnesium Hydroxide drug page: uses, dosage & side effectsAnacaulase-bcdbNexoBrid
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Anacaulase-bcdb interactionAnagrelideAgrylin
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Anagrelide interaction Anagrelide drug page: uses, dosage & side effectsAnisindioneMiradon
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Anisindione interactionAntithrombin IiiThrombate III
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Antithrombin Iii interactionApixabanEliquis
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Apixaban interaction Apixaban drug page: uses, dosage & side effectsArgatrobanArgatroban
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Argatroban interactionAspirinAngettes 75, ASA, Asaphen, Aspirin, Caprin, Cartia +8 more
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin interaction Aspirin drug page: uses, dosage & side effectsAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionAspirin, ButalbitalAxotal
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Butalbital interactionAspirin, Butalbital, CaffeineFiorinal
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Butalbital, Caffeine interaction Aspirin, Butalbital, Caffeine drug page: uses, dosage & side effectsAspirin, Butalbital, Caffeine, Codeine PhosphateFiorinal w/ Codeine
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Butalbital, Caffeine, Codeine Phosphate interactionAspirin, Butalbital, Caffeine, PhenacetinMarnal
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Butalbital, Caffeine, Phenacetin interactionAspirin, CaffeineAnacin
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Caffeine interactionAspirin, Caffeine, Codeine PhosphateAnacin w/ Codeine
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Caffeine, Codeine Phosphate interactionAspirin, Caffeine, Dihydrocodeine BitartrateSynalgos DC
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Caffeine, Dihydrocodeine Bitartrate interactionAspirin, Caffeine, Dover's PwdAcedoval, Dovacet
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Caffeine, Dover's Pwd interactionAspirin, Caffeine, HydrocodoneDamason-P
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Caffeine, Hydrocodone interactionAspirin, Caffeine, Isobutylallylbarbituric Acid, PhenacetinLanorinal
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin interaction Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin drug page: uses, dosage & side effectsAspirin, Caffeine, OrphenadrineInvagesic, Invagesic Forte, Norgesic, Norgesic Forte, Orphengesic, Orphengesic Forte
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Caffeine, Orphenadrine interactionAspirin, Caffeine, Phenacetin, PropoxypheneMargesic Comp. 65
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Caffeine, Phenacetin, Propoxyphene interactionAspirin, Calcium Carbonate, Magnesium Carbonate, Magnesium OxideBufferin
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Calcium Carbonate, Magnesium Carbonate, Magnesium Oxide interaction Aspirin, Calcium Carbonate, Magnesium Carbonate, Magnesium Oxide drug page: uses, dosage & side effectsAspirin, CarisoprodolSoma Compound
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Carisoprodol interactionAspirin, Carisoprodol, Codeine PhosphateSoma Compound w/ Codeine
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Carisoprodol, Codeine Phosphate interactionAspirin, Chlorpheniramine, PhenylpropanolamineAlka-Seltzer Plus Cold
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Chlorpheniramine, Phenylpropanolamine interactionAspirin, Citric Acid, Sodium BicarbonateAlka-Seltzer Pain Reliever and Antacid
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Citric Acid, Sodium Bicarbonate interactionAspirin, Codeine PhosphateAspirin w/ Codeine
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Codeine Phosphate interactionAspirin, Codeine Phosphate, MethocarbamolRobaxisal C
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Codeine Phosphate, Methocarbamol interactionAspirin, Codeine Phosphate, PhenobarbitalPhenaphen
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Codeine Phosphate, Phenobarbital interactionAspirin, Diphenhydramine, PhenylpropanolamineAlka Seltzer Plus Night Time Effervescent
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Diphenhydramine, Phenylpropanolamine interactionAspirin, DipyridamoleAggrenox, Asasantin Retard
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Dipyridamole interactionAspirin, Ethoheptazine, MeprobamateEquagesic
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Ethoheptazine, Meprobamate interactionAspirin, HydrocodoneAlor 5 500, Lortab ASA
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Hydrocodone interactionAspirin, MeprobamateMicrainin
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Meprobamate interactionAspirin, MethocarbamolRobaxisal
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Methocarbamol interactionAspirin, OmeprazoleYosprala
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Omeprazole interactionAspirin, OxycodonePercodan
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Oxycodone interactionAspirin, PentazocineTalwin Compound
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Aspirin, Pentazocine interactionBetrixabanBevyxxa
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Betrixaban interactionBivalirudinAngiomax, Angiomax Rtu, Angiox
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Bivalirudin interactionBromfenac SodiumBromsite, Prolensa
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Bromfenac Sodium interaction Bromfenac Sodium drug page: uses, dosage & side effectsCabliviCablivi
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Cablivi interaction Cablivi drug page: uses, dosage & side effectsCangrelorKengreal
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Cangrelor interactionCilostazolPletal
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Cilostazol interaction Cilostazol drug page: uses, dosage & side effectsClopidogrelPlavix
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Clopidogrel interaction Clopidogrel drug page: uses, dosage & side effectsDalteparinFragmin
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Dalteparin interaction Dalteparin drug page: uses, dosage & side effectsDanaparoidOrgaran
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Danaparoid interactionDefibrotide SodiumDefitelio
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Defibrotide Sodium interaction Defibrotide Sodium drug page: uses, dosage & side effectsDiclofenacZorvolex
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Diclofenac interaction Diclofenac drug page: uses, dosage & side effectsDiclofenac PotassiumCambia, Cataflam, Cataflam IR, Voltaren Rapide, Voltarol Rapid
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Diclofenac Potassium interaction Diclofenac Potassium drug page: uses, dosage & side effectsDiclofenac SodiumAcoflam, Acoflam 75 SR, Acoflam Retard, Defenac, Defenac Retard, Defenac SR +40 more
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Diclofenac Sodium interaction Diclofenac Sodium drug page: uses, dosage & side effectsDiclofenac Sodium, MisoprostolArthrotec 50, Arthrotec 75
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Diclofenac Sodium, Misoprostol interactionDiclofenac EpolamineFlector, Licart
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Diclofenac Epolamine interactionDicumarolDicumarol
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Dicumarol interactionDiphenhydramine Hydrochloride, Naproxen SodiumAleve PM
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Diphenhydramine Hydrochloride, Naproxen Sodium interactionDipyridamoleDipyridamole, Persantin, Persantin Injection, Persantin Retard, Persantine
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Dipyridamole interaction Dipyridamole drug page: uses, dosage & side effectsEdoxabanSavaysa
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Edoxaban interaction Edoxaban drug page: uses, dosage & side effectsEffientPrasugrel
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Effient interaction Effient drug page: uses, dosage & side effectsEnoxaparinLovenox
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Enoxaparin interaction Enoxaparin drug page: uses, dosage & side effectsEptifibatideIntegrilin
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Eptifibatide interactionEsomeprazole, NaproxenVimovo
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Esomeprazole, Naproxen interactionFamotidine, IbuprofenDuexis
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Famotidine, Ibuprofen interactionFish Oil TriglyceridesOmegaven
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Fish Oil Triglycerides interactionFondaparinuxArixtra
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Fondaparinux interaction Fondaparinux drug page: uses, dosage & side effectsHeparinHeparin
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Heparin interaction Heparin drug page: uses, dosage & side effectsHydrocodone, IbuprofenVicoprofen
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Hydrocodone, Ibuprofen interactionIbrutinibImbruvica
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Ibrutinib interaction Ibrutinib drug page: uses, dosage & side effectsIbuprofenAdvil, Arthrofen, Brufen, Brufen Retard, Calodor, Calprofen +14 more
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Ibuprofen interaction Ibuprofen drug page: uses, dosage & side effectsIbuprofen LysineNeoProfen
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Ibuprofen Lysine interaction Ibuprofen Lysine drug page: uses, dosage & side effectsIbuprofen, AcetaminophenAdvil Dual Action
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Ibuprofen, Acetaminophen interactionIbuprofen, HydrocodoneIbucodone
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Ibuprofen, Hydrocodone interactionIbuprofen, OxycodoneCombunox
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Ibuprofen, Oxycodone interactionIbuprofen, PseudoephedrineDristan
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Ibuprofen, Pseudoephedrine interactionIcosapent Ethyl (prescription Drug)Vascepa
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Icosapent Ethyl (prescription Drug) interaction Icosapent Ethyl (prescription Drug) drug page: uses, dosage & side effectsIloprostAurlumyn, Ventavis
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Iloprost interaction Iloprost drug page: uses, dosage & side effectsInotersenTegsedi
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Inotersen interactionKetoprofenOrudis, Oruvail Gel, Oruvail Injection, Powergel
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Ketoprofen interaction Ketoprofen drug page: uses, dosage & side effectsLepirudinRefludan
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Lepirudin interactionMinocyclineAcnamino MR, Aknemin, Amzeeq, Arestin Miscrosperes, Dynacin, Minocin +6 more
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Minocycline interaction Minocycline drug page: uses, dosage & side effectsNadroparinFraxiparine
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Nadroparin interactionNaproxenAleve, Anaprox, Anaprox DS, Arthroxen, EC-Naprosyn, Naprelan +7 more
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Naproxen interaction Naproxen drug page: uses, dosage & side effectsNaproxen SodiumMidol Extended Relief
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Naproxen Sodium interactionNaproxen, PseudoephedrineAleve Cold and Sinus
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Naproxen, Pseudoephedrine interactionNaproxen, SumatriptanTreximet
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Naproxen, Sumatriptan interactionNintedanib EsylateOfev
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Nintedanib Esylate interaction Nintedanib Esylate drug page: uses, dosage & side effectsNusinersen SodiumSpinraza
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Nusinersen Sodium interaction Nusinersen Sodium drug page: uses, dosage & side effectsOmega-3 Fatty Acids (prescription Drug)Lovaza
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Omega-3 Fatty Acids (prescription Drug) interactionPazopanibVotrient
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Pazopanib interaction Pazopanib drug page: uses, dosage & side effectsPentoxifyllineTrental
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Pentoxifylline interaction Pentoxifylline drug page: uses, dosage & side effectsPhenprocoumonLiquamar
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Phenprocoumon interactionPiroxicamFeldene, Feldene Gel
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Piroxicam interaction Piroxicam drug page: uses, dosage & side effectsRivaroxabanXarelto
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Rivaroxaban interaction Rivaroxaban drug page: uses, dosage & side effectsSelexipagUptravi
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Selexipag interaction Selexipag drug page: uses, dosage & side effectsSelumetinib SulfateKoselugo
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Selumetinib Sulfate interaction Selumetinib Sulfate drug page: uses, dosage & side effectsSorafenibNexavar
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Sorafenib interaction Sorafenib drug page: uses, dosage & side effectsStreptokinaseKabikinase, Streptase
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Streptokinase interactionTenecteplaseTNKase
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Tenecteplase interactionTicagrelorBrilinta
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Ticagrelor interaction Ticagrelor drug page: uses, dosage & side effectsTiclopidineTiclid, Ticlopidine
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Ticlopidine interaction Ticlopidine drug page: uses, dosage & side effectsTinzaparinInnohep
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Tinzaparin interactionTirofibanAggrastat
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Tirofiban interaction Tirofiban drug page: uses, dosage & side effectsTivozanib HydrochlorideFotivda
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Tivozanib Hydrochloride interaction Tivozanib Hydrochloride drug page: uses, dosage & side effectsTreprostinil
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Treprostinil interaction Treprostinil drug page: uses, dosage & side effectsTreprostinil (iv)Remodulin
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Treprostinil (iv) interaction Treprostinil (iv) drug page: uses, dosage & side effectsTreprostinil (inh)Tyvaso
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Treprostinil (inh) interaction Treprostinil (inh) drug page: uses, dosage & side effectsTreprostinil (oral)Orenitram, Remodulin
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Treprostinil (oral) interaction Treprostinil (oral) drug page: uses, dosage & side effectsUrokinaseAbbokinase
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Urokinase interactionVorapaxarZontivity
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Vorapaxar interaction Vorapaxar drug page: uses, dosage & side effectsWarfarinWarfarin
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Warfarin interaction Warfarin drug page: uses, dosage & side effectsWarfarin SodiumCoumadin, Panwarfin, Sofarin
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Warfarin Sodium interaction Warfarin Sodium drug page: uses, dosage & side effectsAnistreplase, ApsacEminase
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Anistreplase, Apsac interactionDabigatranPradax, Pradaxa
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Dabigatran interaction Dabigatran drug page: uses, dosage & side effectsReteplaseRetevase
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Reteplase interactionAmphotericin, TetracyclineMysteclin-F
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Amphotericin, Tetracycline interactionBismuth Subsalicylate, Metronidazole, TetracyclineHelidac
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Bismuth Subsalicylate, Metronidazole, Tetracycline interaction Bismuth Subsalicylate, Metronidazole, Tetracycline drug page: uses, dosage & side effectsChlortetracyclineAureomycin
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Chlortetracycline interactionDemeclocyclineDeclomycin
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Demeclocycline interaction Demeclocycline drug page: uses, dosage & side effectsDoripenemDoribax
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Doripenem interaction Doripenem drug page: uses, dosage & side effectsDoxycyclineDoryx, Doxy, Doxy-D, Doxycin, Doxycycline Injection, Doxylin +6 more
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Doxycycline interaction Doxycycline drug page: uses, dosage & side effectsDoxycycline HyclateActiclate, Acticlate Cap, Lymepak
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Doxycycline Hyclate interaction Doxycycline Hyclate drug page: uses, dosage & side effectsDoxycycline MonohydrateErfacea
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Doxycycline Monohydrate interactionDoxycylineDoxychel
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Doxycyline interaction Doxycyline drug page: uses, dosage & side effectsEravacyclineXerava
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Eravacycline interaction Eravacycline drug page: uses, dosage & side effectsMetronidazole, Tetracyline, Bismuth Subcitrate PotassiumPylera
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Metronidazole, Tetracyline, Bismuth Subcitrate Potassium interaction Metronidazole, Tetracyline, Bismuth Subcitrate Potassium drug page: uses, dosage & side effectsMinocycline HydrochlorideMinolira, Ximino
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Minocycline Hydrochloride interaction Minocycline Hydrochloride drug page: uses, dosage & side effectsOmadacycline (iv)Nuzyra
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Omadacycline (iv) interaction Omadacycline (iv) drug page: uses, dosage & side effectsOmadacycline (oral)Nuzyra
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Omadacycline (oral) interaction Omadacycline (oral) drug page: uses, dosage & side effectsOxytetracyclineTerramycin
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Oxytetracycline interactionOxytetracycline, Phenazopyridine, SulfamethizoleUrobiotic
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Oxytetracycline, Phenazopyridine, Sulfamethizole interactionRetapamulinAltabax, Altargo
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Retapamulin interaction Retapamulin drug page: uses, dosage & side effectsTetracyclineAchromycin, Achromycin V, Nor-Tet, Robitet, Sumycin, Sumycin 250 +6 more
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Tetracycline interaction Tetracycline drug page: uses, dosage & side effectsTigecyclineTygacil
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Tigecycline interaction Tigecycline drug page: uses, dosage & side effectsWhat Severity, Likelihood & Evidence Mean
Severity — How Serious It Can Be
- Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
- Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
- Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
- No known interaction. Checked against our sources with nothing documented — not the same as proven safety.
Likelihood — How Well It’s Documented
- Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
- Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
- Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
- Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Where This Data Comes From
- Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
- Each drug listed above links to the full report for that exact Bromelain combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The kinds of drugs Bromelain affects
Every type of medication (drug category) Bromelain is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Anticoagulant/Antiplatelet Drugs
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
There is one case report of a patient experiencing minor bruising while taking bromelain with naproxen. Bromelain is thought to have antiplatelet activity. Whether this interaction is of concern with topical bromelain is unclear. Interference with coagulation of burn wounds has been reported in a patient receiving bromelain-based enzymatic debridement. However, observational research has found that topical bromelain debridement is not associated with increases or decreases in laboratory markers of coagulation when compared with surgical debridement.
Tetracycline Antibiotics
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Laboratory research suggests that bromelain might increase the absorption of tetracycline antibiotics. However, a study in healthy adults reported no difference in tetracycline plasma levels when a 500 mg dose was taken with or without bromelain 80 mg.
Bromelain: Uses, Safety & Side Effects
Bromelain is a group of protein-digesting enzymes from pineapple that people take mainly for inflammation, swelling, and sinus problems. Some early studies are promising, but the overall evidence is limited and far from conclusive. It is generally well tolerated short-term, but pregnant and breastfeeding people should avoid it, and anyone with a pineapple allergy or bleeding concerns should check with a pharmacist first.

- Scientific name
- Ananas comosus
- Family
- Bromeliaceae
- Part used
- Stem and fruit of the pineapple
- Common forms
- Capsules, tablets, powder, topical preparations
- Inflammation and swelling
- Sinus and nasal congestion
- Digestion support
- Post-surgery or injury recovery
- Joint pain
- Allergic rhinitis
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally well tolerated short-term, but evidence on long-term use is limited.
Insufficient reliable information available; avoid using.
Read the full pregnancy detailInsufficient reliable information available; avoid using.
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Bromelain is a mixture of enzymes that break down proteins. These enzymes come from the pineapple plant (Ananas comosus), mostly from the stem but also from the fruit. Pineapple is a tropical plant grown in warm regions around the world, including parts of Central and South America, Asia, and Africa.
People have used bromelain for many years as a natural remedy. Today it is sold as a dietary supplement in capsules, tablets, and powders, and is sometimes found in topical products. It is most often taken to help with inflammation, swelling, sinus problems, and digestion.
How it works
Bromelain is made up of proteolytic enzymes, which means enzymes that break down proteins. This is the same kind of activity that helps digest protein in food.
Researchers believe bromelain may also affect substances in the body involved in inflammation and swelling. In laboratory and animal studies, it appears to influence certain immune signals and may help the body reduce fluid build-up and break down certain proteins linked to inflammation.
It is important to know that much of this information comes from test-tube and animal research. How well these effects carry over to people taking bromelain by mouth is still not fully understood.
Does Bromelain work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Bromelain, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 27 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Allergic rhinitis (hay fever)
Although there has been interest in using oral bromelain for allergic rhinitis, there is insufficient reliable information about the clinical effects of bromelain for this condition.
Insufficient Reliable Evidence To Rate Aromatase inhibitor-induced arthralgia
Oral bromelain has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Burns
Preliminary clinical research shows that topical bromelain is beneficial for burn debridement. However, it is unclear if topical bromelain is beneficial for scar prevention.
Insufficient Reliable Evidence To Rate Cancer
Although there has been interest in using oral bromelain for cancer, there is insufficient reliable information about the clinical effects of bromelain for this condition.
Insufficient Reliable Evidence To Rate Chemotherapy-induced peripheral neuropathy
Oral bromelain has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Chronic venous insufficiency
Oral bromelain has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Diabetes
Oral bromelain has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Diabetic foot ulcers
Although there has been interest in using topical bromelain for diabetic foot ulcers, there is insufficient reliable information about the clinical effects of bromelain for this condition.
Insufficient Reliable Evidence To Rate Exercise-induced muscle soreness
It is unclear if oral bromelain is beneficial for preventing exercise-induced muscle soreness.
Insufficient Reliable Evidence To Rate Exercise-induced respiratory infections
Oral bromelain has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Kidney stones (nephrolithiasis)
It is unclear if oral bromelain is beneficial for kidney stone expulsion.
Insufficient Reliable Evidence To Rate Knee pain
It is unclear if oral bromelain is beneficial for knee pain.
Insufficient Reliable Evidence To Rate Lymphedema
Oral bromelain has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Multiple sclerosis (MS)
Oral bromelain has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Ocular floaters
Oral bromelain has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Osteoarthritis
It is unclear if oral bromelain is beneficial for osteoarthritis.
Insufficient Reliable Evidence To Rate Parturition
Although there has been interest in using oral bromelain for shortening the duration of labor, there is insufficient reliable information about the clinical effects of bromelain for this purpose.
Insufficient Reliable Evidence To Rate Periodontitis
It is unclear if oral bromelain is beneficial for periodontitis.
Insufficient Reliable Evidence To Rate Pityriasis lichenoides chronica (PLC)
It is unclear if oral bromelain is beneficial for PLC.
Insufficient Reliable Evidence To Rate Postoperative pain
While evidence is mixed, some small clinical studies suggest that oral bromelain reduces postoperative pain after some oral surgeries.
Insufficient Reliable Evidence To Rate Postoperative swelling
Oral bromelain has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Rhinosinusitis
It is unclear if oral bromelain is beneficial for rhinosinusitis.
Insufficient Reliable Evidence To Rate Sprains
Oral bromelain has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Tendinopathy
Oral bromelain has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Urinary tract infections (UTIs)
Oral bromelain has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Venous leg ulcers
Although there has been interest in using topical bromelain for venous leg ulcers, there is insufficient reliable information about the clinical effects of bromelain for this condition.
Insufficient Reliable Evidence To Rate Wound healing
It is unclear if enzymatic debridement with bromelain improves the healing of various types of chronic wounds.
Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.
Safety & precautions
For most healthy adults, bromelain appears to be reasonably well tolerated when taken by mouth for a short time. Still, some people should be careful.
Allergies: People allergic to pineapple should avoid bromelain. Those with allergies to other plants, latex, or certain pollens may also react.
Bleeding risk: Bromelain may affect how the blood clots. Use caution if you have a bleeding disorder or are scheduled for surgery, and stop it well before any planned procedure unless your doctor says otherwise.
Pregnancy and breastfeeding: There is not enough reliable safety information for these groups. To be safe, avoid bromelain if you are pregnant or breastfeeding.
Always talk with your pharmacist or doctor before starting bromelain, especially if you have a health condition or take other medicines.
Side effects
Bromelain is usually well tolerated, but it can cause side effects in some people. The most common ones are mild and affect the stomach, such as:
- Nausea or upset stomach
- Diarrhea
- Vomiting
Less commonly, people may notice changes in heart rate or, rarely, allergic reactions. Signs of a serious allergic reaction can include rash, itching, swelling, trouble breathing, or wheezing. If you have any of these symptoms, stop taking it and get medical help right away.
Bromelain: Reported Adverse Effects
Documented safety reports on Bromelain from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Orally, bromelain seems to be well tolerated.
Most Common Adverse Effects:
Orally: Diarrhea, flatulence, gastric upset, headache.
Topically: Pruritus, urticaria.
Asthma Immunologic
Immunoglobulin E (IgE)-mediated allergic reactions to bromelain may occur.
If inhaled, bromelain may cause sensitization and allergic reactions such as asthma. In case reports of occupational inhalation of bromelain, additional allergic symptoms included difficulty swallowing, throat itching, eye irritation, and rhinitis.
- Nettis E, Napoli G, Ferrannini A, Tursi A. IgE-mediated allergy to bromelain. Allergy 2001;56:257-8.
- Gailhofer, G., Wilders-Truschnig, M., Smolle, J., and Ludvan, M. Asthma caused by bromelain: an occupational allergy. Clin Allergy 1988;18(5):445-450.
- Galleguillos, F. and Rodriguez, J. C. Asthma caused by bromelin inhalation. Clin Allergy 1978;8(1):21-24.
- Perez-Camo I, Quirce S, Duran MA, and et al. Latex allergy: evidence of cross-reactivity with papain and bromelain [abstract]. Allergy 1996;51(suppl 31):48.
- Mattei, O., Fabri, G., and Farina, G. [Occupational health experience regarding four cases of asthma due to bromelain (author's transl)]. Medicina del Lavoro 1979;70(5):404-409.
Diarrhea Gastrointestinal
Orally, bromelain may cause gastrointestinal disturbances, including diarrhea, nausea, vomiting, flatulence, and abdominal pain.
- Nettis E, Napoli G, Ferrannini A, Tursi A. IgE-mediated allergy to bromelain. Allergy 2001;56:257-8.
- Brien S, Lewith G, Walker AF, et al. Bromelain as an adjunctive treatment for moderate-to-severe osteoarthritis of the knee: a randomized placebo-controlled pilot study. QJM 2006;99:841-50.
- Mori S, Ojima Y, Hirose T, et al. The clinical effect of proteolytic enzyme containing bromelain and trypsin on urinary tract infection evaluated by double blind method. Acta Obstet Gynaecol Jpn 1972;19:147-53.
- Kasemsuk T, Saengpetch N, Sibmooh N, Unchern S. Improved WOMAC score following 16-week treatment with bromelain for knee osteoarthritis. Clin Rheumatol. 2016 Oct;35(10):2531-40.
- Leelakanok N, Petchsomrit A, Janurai T, Saechan C, Sunsandee N. Efficacy and safety of bromelain: A systematic review and meta-analysis. Nutr Health 2023.
Hypertension Dermatologic
Topically, bromelain may cause dermal allergic reactions including urticaria, pruritus, and skin swelling. Redness, swelling, burning, pain at the application site, and cellulitis have also been reported rarely. In one case, a fixed drug eruption with pruritis near the groin was reported in a 33-year-old male taking bromelain 50 mg orally daily for 10 days. After discontinuation of bromelain and treatment with topical corticosteroid, the lesion resolved. Upon re-challenge with bromelain, the lesion reappeared in the same area.
In another case report, a 61-year-old male with a history of chronic lower leg ulceration secondary to chronic venous hypertension and recurrent deep vein thrombosis on rivaroxaban presented with a deep-dermal burn on his lower calf. Bromelain-based topical enzymatic debridement agent Nexobrid 2 grams was applied to the burn site. Thirty minutes later, the patient experienced two instances of hemorrhage at the site of debridement. The patient was stabilized and treated with fluids, packed red cells, and tranexamic acid, and then the Nexobrid was removed. Caution should be used in patients with underlying coagulopathies.
- Nettis E, Napoli G, Ferrannini A, Tursi A. IgE-mediated allergy to bromelain. Allergy 2001;56:257-8.
- Shoham Y, Shapira E, Haik J, et al. Bromelain-based enzymatic debridement of chronic wounds: Results of a multicentre randomized controlled trial. Wound Repair Regen 2021;29(6):899-907.
- Leelakanok N, Petchsomrit A, Janurai T, Saechan C, Sunsandee N. Efficacy and safety of bromelain: A systematic review and meta-analysis. Nutr Health 2023.
- Kutlu Ö, DemirbaS A, Elmas ÖF, Güvenç U, Metin A. Fixed drug eruption: a new side effect of bromelain. Contact Dermatitis 2020. Online ahead of print.
- Hasham S, Riyat H, Fletcher A, O'Boyle CP, Alexander S. To bleed or not to bleed? Case series and discussion of haemorrhage risk with enzymatic debridement in burn injuries. Scars Burn Heal 2023;9:20595131231168333.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no single standardized dose of bromelain that has been firmly established for any condition. Bromelain products are often measured in units of enzyme activity (such as GDU or MCU), which can vary widely between brands, making it hard to compare products.
Because of this, the best approach is to follow the directions on the product label and not exceed the recommended amount. A pharmacist can help you understand the strength of a particular product and whether it is appropriate for you.
Bromelain & Pregnancy
Bromelain & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 19 references that drive our Bromelain monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.
- Nettis E, Napoli G, Ferrannini A, Tursi A. IgE-mediated allergy to bromelain. Allergy 2001;56:257-8. PubMed
- Taussig SJ, Batkin S. Bromelain, the enzyme complex of pineapple (Ananas comosus) and its clinical application. An update. J Ethnopharmacol 1988;22:191-203.. PubMed
- Bradbrook ID, Morrison PJ, Rogers HJ. The effect of bromelain on the absorption of orally administered tetracycline. Br J Clin Pharmacol 1978;6:552-4. PubMed
- Bush TM, Rayburn KS, Holloway SW, et al. Adverse interactions between herbal and dietary substances and prescription medications: a clinical survey. Altern Ther Health Med 2007;13:30-5.
- Brien S, Lewith G, Walker AF, et al. Bromelain as an adjunctive treatment for moderate-to-severe osteoarthritis of the knee: a randomized placebo-controlled pilot study. QJM 2006;99:841-50. PubMed
- Mori S, Ojima Y, Hirose T, et al. The clinical effect of proteolytic enzyme containing bromelain and trypsin on urinary tract infection evaluated by double blind method. Acta Obstet Gynaecol Jpn 1972;19:147-53.
- Glaser D, Hilberg T. The influence of bromelain on platelet count and platelet activity in vitro. Platelets 2006;17:37-41. PubMed
- Heinicke R M, van der Wal L, Yokoyama M. Effect of bromelain (Ananase) on human platelet aggregation. Experientia 1972;28:844-5. PubMed
- Gailhofer, G., Wilders-Truschnig, M., Smolle, J., and Ludvan, M. Asthma caused by bromelain: an occupational allergy. Clin Allergy 1988;18(5):445-450. PubMed
- Mattei, O., Fabri, G., and Farina, G. [Occupational health experience regarding four cases of asthma due to bromelain (author's transl)]. Medicina del Lavoro 1979;70(5):404-409.
- Galleguillos, F. and Rodriguez, J. C. Asthma caused by bromelin inhalation. Clin Allergy 1978;8(1):21-24. PubMed
- Perez-Camo I, Quirce S, Duran MA, and et al. Latex allergy: evidence of cross-reactivity with papain and bromelain [abstract]. Allergy 1996;51(suppl 31):48.
- Martin GJ, Ehrenreich J, and Asbell N. Bromelain: pineapple proteases with anti-edema activity. Exp Med Surg 1962;20:227-247.
- Kasemsuk T, Saengpetch N, Sibmooh N, Unchern S. Improved WOMAC score following 16-week treatment with bromelain for knee osteoarthritis. Clin Rheumatol. 2016 Oct;35(10):2531-40. PubMed
- Kutlu Ö, DemirbaS A, Elmas ÖF, Güvenç U, Metin A. Fixed drug eruption: a new side effect of bromelain. Contact Dermatitis 2020. Online ahead of print. PubMed
- Shoham Y, Shapira E, Haik J, et al. Bromelain-based enzymatic debridement of chronic wounds: Results of a multicentre randomized controlled trial. Wound Repair Regen 2021;29(6):899-907. PubMed
- Pfister P, Garcia Wendel PD, Kim BS, et al. Coagulation side effects of enzymatic debridement in burned patients. Burns 2022. PubMed
- Hasham S, Riyat H, Fletcher A, O'Boyle CP, Alexander S. To bleed or not to bleed? Case series and discussion of haemorrhage risk with enzymatic debridement in burn injuries. Scars Burn Heal 2023;9:20595131231168333. PubMed
- Leelakanok N, Petchsomrit A, Janurai T, Saechan C, Sunsandee N. Efficacy and safety of bromelain: A systematic review and meta-analysis. Nutr Health 2023. PubMed
This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Brands that make products with Bromelain
913 brands in our database make a supplement containing Bromelain.
Supplement products with Bromelain
6,847 products in our database contain Bromelain. Open any to see its full ingredient list and every drug interaction we check.
Bromelain: Common Questions
What is Bromelain used for, and does it work?
Does Bromelain interact with prescription medications?
How are Bromelain interactions rated?
Is it safe to take Bromelain with my medications?
Where does this Bromelain interaction information come from?
What is Bromelain used for?
Is Bromelain safe to take?
Can I take Bromelain while pregnant or breastfeeding?
Can I just eat pineapple to get Bromelain?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Bromelain
A rotating sample of real supplements in our database that list Bromelain — open any to see its full ingredients and every drug interaction we check.
- Every Woman's One Daily Multivitamin by New Chapter
- Raw Organic Fit Vanilla Flavor by Garden of Life
- ActivJoint Plus by Trace Minerals Research
- Organic Digest+ Tropical Fruit Flavor by Garden of Life Dr. Formulated Enzymes
- Life Extenstion Mix Powder Without Copper by Life Extension
- Serralase by Klaire Labs
- Raw Organic Fit Vanilla Flavor by Garden of Life
- Complete Protein Cookies and Cream by PlantFusion
- Raw Organic Fit Coffee Flavor by Garden of Life
- Quercetin by Longevity Medical Clinic
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