Drug & supplement interaction

Apple Polyphenols + Trilaciclib Dihydrochloride

Trilaciclib Dihydrochloride brand name: Cosela.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 27, 2026
The bottom line No known interaction

We found no known interaction between Apple Polyphenols and Trilaciclib Dihydrochloride in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Apple Polyphenols and Trilaciclib Dihydrochloride

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Trilaciclib Dihydrochloride and Apple Polyphenols in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Apple Polyphenols safety at a glance

Apple Polyphenols overall Use caution Likely safe in food amounts; concentrated supplements are less studied for long-term use.
Pregnancy Use caution Apples as food are fine, but concentrated extracts have not been studied in pregnancy, so avoid supplements unless your doctor approves.
Breastfeeding Use caution There is not enough information on concentrated extracts during breastfeeding, so caution is advised.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Trilaciclib Dihydrochloride and Apple Polyphenols? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Trilaciclib Dihydrochloride

Interactions in our licensed database are recorded against drug classes, not just single drug names. Trilaciclib Dihydrochloride is filed under a single classification — qt interval-prolonging drugs. Apple Polyphenols has documented interactions with 1 drug class — the most serious being insulin (moderate) — and none of Trilaciclib Dihydrochloride’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Apple Polyphenols Does Interact With Other Medications

Apple Polyphenols has 13 moderate known drug interactions in our database — Trilaciclib Dihydrochloride isn’t one of them. If you take anything else, check it against the full list below.

Moderate 13 No known interaction 2,817 (incl. Trilaciclib Dihydrochloride)
Taking anything else?

Check Another of Your Medications Against Apple Polyphenols

Covers the 2,830 medications we’ve checked against Apple Polyphenols. Pick one to open its full report.

What to actually watch for

No Interaction Found — But Data Suggests Apple Polyphenols and Trilaciclib Dihydrochloride May Share a Side Effect

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

  • Headache Additional detail

    Apple Polyphenols

    “Orally, apple polyphenols seem to be well tolerated. Some clinical studies have reported no adverse effects with apple polyphenols, while mild gastrointestinal effects, nasopharyngitis, and headache have been reported in other studies.”

    Apple Polyphenols · Natural Medicines adverse-effect record, reported in cluster headache.

    4 sources cited
    1. 94855. Akazome Y, Kametani N, Kanda T, et al. Evaluation of safety of excessive intake and efficacy of long-term intake of beverages containing apple polyphenols. J Oleo Sci. 2010;59(6):321-38. PubMed
    2. 94863. Nagasako-Akazome Y, Kanda T, Ohtake Y, Shimasaki H, Kobayashi T. Apple polyphenols influence cholesterol metabolism in healthy subjects with relatively high body mass index. J Oleo Sci. 2007;56(8):417-28. PubMed
    3. 94869. Tenore GC, Caruso D, Buonomo G, et al. A Healthy Balance of Plasma Cholesterol by a Novel Annurca Apple-Based Nutraceutical Formulation: Results of a Randomized Trial. J Med Food. 2017;20(3):288-300. PubMed
    4. 102020. Saarenhovi M, Salo P, Scheinin M, et al. The effect of an apple polyphenol extract rich in epicatechin and flavan-3-ol oligomers on brachial artery flow-mediated vasodilatory function in volunteers with elevated blood pressure. Nutr. J 2017;16(1):73. PubMed

    “Orally, taking apple polyphenols may cause headache in some patients. In one clinical trial, around 26% of patients taking apple polyphenols 330 mg daily for 4 weeks reported headaches, although this adverse effect was also reported in nearly 24% of patients taking placebo.”

    Apple Polyphenols · Natural Medicines adverse-effect record, reported in cluster headache.

    1 source cited
    1. 102020. Saarenhovi M, Salo P, Scheinin M, et al. The effect of an apple polyphenol extract rich in epicatechin and flavan-3-ol oligomers on brachial artery flow-mediated vasodilatory function in volunteers with elevated blood pressure. Nutr. J 2017;16(1):73. PubMed

    Trilaciclib Dihydrochloride

    Listed in the ADVERSE REACTIONS section of the FDA label for Trilaciclib Dihydrochloride. Read the label on DailyMed ›

Reported for Apple Polyphenols but not commonly for Trilaciclib Dihydrochloride: diarrhea.

Effects for Trilaciclib Dihydrochloride come from the ADVERSE REACTIONS section of its FDA label; effects for Apple Polyphenols come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Everything else you take

See Every Supplement That Interacts With Trilaciclib Dihydrochloride

This page covers Apple Polyphenols only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Trilaciclib Dihydrochloride page lists 13 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: American Hellebore (major), Arsenic (major), Cesium (major), Ephedra (major) and Grapefruit (major).

By severity: 6 major · 7 moderate.

From our pharmacist’s overview on the Trilaciclib Dihydrochloride page

“Trilaciclib (Cosela) is an infusion given before chemotherapy to shield bone marrow in people with small cell lung cancer, and its supplement list deserves genuine attention because all 13 flagged ingredients press on the same weak point, the heart's electrical rhythm. Each can lengthen the QT interval, the pause between beats on an EC…”

Reviewed by 2 · Jul 18, 2026

Open the Trilaciclib Dihydrochloride interaction page

How much people look this up

Where Apple Polyphenols and Trilaciclib Dihydrochloride Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Apple Polyphenols
Steady interest

#1,197 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Trilaciclib Dihydrochloride
Steady interest

#2,156 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Apple Polyphenols reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 27, 2026. The Apple Polyphenols and Trilaciclib Dihydrochloride records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Apple Polyphenols

What is Apple Polyphenols?

Apple Polyphenols
  • High cholesterol
  • High blood pressure
  • Weight management
  • Antioxidant support
  • Blood sugar support
  • Skin health (topical)

Apple polyphenols are antioxidant plant compounds taken from apples and marketed for heart, weight, and blood sugar health. Early research is interesting, but there is not enough reliable human evidence to confirm these benefits. They appear generally safe in food-like amounts, but talk with your pharmacist or doctor before using concentrated supplements.

Malus domestica · Rosaceae · Fruit, peel, and pomace (sometimes unripe apples) · Capsules, tablets, powders, and standardized extracts

An interaction check asks whether these two react with each other — it does not ask whether Apple Polyphenols is a good idea for someone in your situation. Here is what our Apple Polyphenols record says about it on its own.

Apple Polyphenols: dosing

There is no standardized, well-established dose for apple polyphenols. Products vary widely in how much polyphenol they contain.The best approach is to follow the directions on the product label and not exceed the suggested amount.

From our Apple Polyphenols monograph — the full record covers uses, side effects and every documented interaction.

Read the full Apple Polyphenols monograph & all interactions
Medication

About Trilaciclib Injection

What Is Trilaciclib Injection Used For?

Brand name: Cosela

Trilaciclib Injection (brand name Cosela) is used in adults with extensive-stage small cell lung cancer. It helps decrease the incidence of chemotherapy-induced myelosuppression. That means it lowers the chance that chemotherapy will suppress the bone marrow's production of blood cells.

It is given before certain chemotherapy regimens: a platinum/etoposide-containing regimen or a topotecan-containing regimen.

See full Trilaciclib Injection drug information
Keep checking

Other Drugs & Apple Polyphenols

Browse every other medication we’ve checked against Apple Polyphenols — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
13Moderate
0Minor
2,816No known interaction
13 Moderate 2,816 No interaction
Moderate

13 interactions

No interaction 2,816 drugs checked — show the list

We also checked Apple Polyphenols against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,816 medications checked with no known interaction — see the full Apple Polyphenols list.

See the full Apple Polyphenols interactions page
See every supplement checked against Trilaciclib Dihydrochloride, ranked by severity
Evidence & sources

Apple Polyphenols References

The 10 references that drive our Apple Polyphenols 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.

  1. Akazome Y, Kametani N, Kanda T, et al. Evaluation of safety of excessive intake and efficacy of long-term intake of beverages containing apple polyphenols. J Oleo Sci. 2010;59(6):321-38. PubMed
  2. Auclair S, Chironi G, Milenkovic D, et al. The regular consumption of a polyphenol-rich apple does not influence endothelial function: a randomised double-blind trial in hypercholesterolemic adults. Eur J Clin Nutr. 2010;64(10):1158-65. PubMed
  3. Deley G, Guillemet D, Allaert FA, Babault N. An Acute Dose of Specific Grape and Apple Polyphenols Improves Endurance Performance: A Randomized, Crossover, Double-Blind versus Placebo Controlled Study. Nutrients. 2017;9(8). pii: E917. PubMed
  4. Kamimura A, Takahashi T, Watanabe Y. Investigation of topical application of procyanidin B-2 from apple to identify its potential use as a hair growing agent. Phytomedicine. 2000;7(6):529-36. PubMed
  5. Kishi K, Saito M, Saito T, et al. Clinical efficacy of apple polyphenol for treating cedar pollinosis. Biosci Biotechnol Biochem. 2005;69(4):829-32. PubMed
  6. Nagasako-Akazome Y, Kanda T, Ohtake Y, Shimasaki H, Kobayashi T. Apple polyphenols influence cholesterol metabolism in healthy subjects with relatively high body mass index. J Oleo Sci. 2007;56(8):417-28. PubMed
  7. Takahashi T, Kamimura A, Kagoura M, et al. Investigation of the topical application of procyanidin oligomers from apples to identify their potential use as a hair-growing agent. J Cosmet Dermatol. 2005;4(4):245-9. PubMed
  8. Tenore GC, Caruso D, Buonomo G, et al. A Healthy Balance of Plasma Cholesterol by a Novel Annurca Apple-Based Nutraceutical Formulation: Results of a Randomized Trial. J Med Food. 2017;20(3):288-300. PubMed
  9. Saarenhovi M, Salo P, Scheinin M, et al. The effect of an apple polyphenol extract rich in epicatechin and flavan-3-ol oligomers on brachial artery flow-mediated vasodilatory function in volunteers with elevated blood pressure. Nutr. J 2017;16(1):73. PubMed
  10. Prpa EJ, Corpe CP, Atkinson B, et al. Apple polyphenol-rich drinks dose-dependently decrease early-phase postprandial glucose concentrations following a high-carbohydrate meal: a randomized controlled trial in healthy adults and in vitro studies. J Nutr B PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Apple Polyphenols and Trilaciclib Dihydrochloride Together: Common Questions

Is it safe to take Apple Polyphenols with Trilaciclib Dihydrochloride?
We do not list a known interaction between Apple Polyphenols and Trilaciclib Dihydrochloride. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Do Apple Polyphenols and Trilaciclib Dihydrochloride have any of the same side effects?
Yes — our sources link each of them separately to one of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
How was the Apple Polyphenols and Trilaciclib Dihydrochloride combination checked?
Interactions in our licensed database are recorded against drug classes. Trilaciclib Dihydrochloride is filed under 1 classification, and Apple Polyphenols has documented interactions with 1 drug class — none of Trilaciclib Dihydrochloride's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does Apple Polyphenols interact with any other medications?
Yes. Apple Polyphenols has 13 documented drug interactions in our database — Trilaciclib Dihydrochloride is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Trilaciclib Dihydrochloride interact with any supplements?
Yes. Trilaciclib Dihydrochloride has documented interactions with 13 supplements in our database — Apple Polyphenols is not one of them. The Trilaciclib Dihydrochloride interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Apple Polyphenols monograph Uses, safety profile, and every drug interaction in one place Trilaciclib Injection drug information The full plain-English guide to this medication Trilaciclib Dihydrochloride supplement interactions Every supplement checked against Trilaciclib Dihydrochloride, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 10 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Trilaciclib Dihydrochloride and Apple Polyphenols?

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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.