Drug & supplement interaction

Maritime Pine + Varenicline

Varenicline brand names: Chantix, Champix, Tyrvaya.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Maritime Pine and Varenicline 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 label for Varenicline states a food rule worth keeping to, and 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

Maritime Pine and Varenicline

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 Varenicline and Maritime Pine 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.

Maritime Pine safety at a glance

Maritime Pine overall Use caution Generally well tolerated in studies, but long-term safety is not fully established.
Pregnancy Possibly Safe When used orally during the third trimester of pregnancy. In one small clinical study, a standardized extract of maritime pine bark (Pycnogenol, Horphag Researc... Read the full pregnancy detail
Breastfeeding Avoid Not enough safety data, so it is best avoided while breastfeeding.

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Varenicline and Maritime Pine? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Varenicline

Interactions in our licensed database are recorded against drug classes, not just single drug names. Varenicline is filed under 3 classifications — including organic cation transporter 2 (oct2) substrates, oral drugs. Maritime Pine has documented interactions with 3 drug classes — the most serious being anticoagulant/antiplatelet drugs (moderate), antidiabetes drugs (moderate) and immunosuppressants (moderate) — and none of Varenicline’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

Maritime Pine Does Interact With Other Medications

Maritime Pine has 327 moderate known drug interactions in our database — Varenicline isn’t one of them. If you take anything else, check it against the full list below.

Moderate 327 No known interaction 2,503 (incl. Varenicline)
Taking anything else?

Check Another of Your Medications Against Maritime Pine

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

What to actually watch for

No Interaction Found — But Data Suggests Maritime Pine and Varenicline May Share Several of the Same Side Effects

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. 2 of them are worth acting on rather than waiting out — marked below.

  • A heart attack / Chest pain Worth acting on Additional detail

    Maritime Pine

    “A single case of chest pain has been reported for a patient treated with a standardized extract of maritime pine bark (Pycnogenol, Horphag Research). However, the patient had a history of myocardial infarction. Another patient taking the same maritime pine bark extract experienced acute decompensation of heart failure. The patient previously has stable coronary artery disease.”

    Maritime Pine · Natural Medicines adverse-effect record, reported in congestive heart failure (chf).

    2 sources cited
    1. 50905. Cisar, P., Jany, R., Waczulikova, I., Sumegova, K., Muchova, J., Vojtassak, J., Durackova, Z., Lisy, M., and Rohdewald, P. Effect of pine bark extract (Pycnogenol) on symptoms of knee osteoarthritis. Phytother.Res. 2008;22(8):1087-1092.
    2. 50929. Enseleit, F., Sudano, I., Periat, D., Winnik, S., Wolfrum, M., Flammer, A. J., Frohlich, G. M., Kaiser, P., Hirt, A., Haile, S. R., Krasniqi, N., Matter, C. M., Uhlenhut, K., Hogger, P., Neidhart, M., Luscher, T. F., Ruschitzka, F., and Noll, G. Effects

    Varenicline

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

  • Dizziness Additional detail

    Maritime Pine

    “Orally, a standardized extract of maritime pine bark (Pycnogenol, Horphag Research) may cause dizziness and severe vertigo. Also, headache has been reported in a single trial.”

    Maritime Pine · Natural Medicines adverse-effect record, reported in cluster headache.

    5 sources cited
    1. 15521. Liu X, Zhou HJ, Rohdewald P. French maritime pine bark extract pycnogenol dose-dependently lowers glucose in type 2 diabetic patients (letter). Diabetes Care 2004;27:839. PubMed
    2. 15522. Liu X, Wei J, Tan F, et al. Antidiabetic effect of Pycnogenol French maritime pine bark extract in patients with diabetes type II. Life Sci 2004;75:2505-13. PubMed
    3. 17300. Wilson D, Evans M, Guthrie N et al. A randomized, double-blind, placebo-controlled exploratory study to evaluate the potential of pycnogenol for improving allergic rhinitis symptoms. Phytother Res 2010;24:1115-9.
    4. 50904. Suzuki, N., Uebaba, K., Kohama, T., Moniwa, N., Kanayama, N., and Koike, K. French maritime pine bark extract significantly lowers the requirement for analgesic medication in dysmenorrhea: a multicenter, randomized, double-blind, placebo-controlled study
    5. 50933. Schoonees, A., Visser, J., Musekiwa, A., and Volmink, J. Pycnogenol(R) (extract of French maritime pine bark) for the treatment of chronic disorders. Cochrane.Database.Syst.Rev. 2012;4:CD008294.

    Varenicline

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

  • Headache Additional detail

    Maritime Pine

    Recorded for Maritime Pine in the same Natural Medicines adverse-effect record shown under Dizziness above.

    Varenicline

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

Reported for Maritime Pine but not commonly for Varenicline: heart failure.

Effects for Varenicline come from the ADVERSE REACTIONS section of its FDA label; effects for Maritime Pine 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.

Special populations

Maritime Pine in Pregnancy & Breastfeeding

Pregnancy Possibly Safe

When used orally during the third trimester of pregnancy. In one small clinical study, a standardized extract of maritime pine bark (Pycnogenol, Horphag Research) has been used at a dose of 30 mg daily with apparent safety during the third trimester of pregnancy. However, more evidence is needed; use cautiously or avoid using.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

How to take them

Some Varenicline Products Have a Food Rule — Maritime Pine Should Not Break It

At least one FDA label for a product containing Varenicline says to take it with food. If you take Maritime Pine on an empty stomach out of habit, keep them separate — and take Varenicline with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Varenicline products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

Varenicline tablets should be taken orally after eating and with a full glass of water.

From the Dosage and Administration section of the FDA label we read for Varenicline — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Varenicline

This page covers Maritime Pine only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Varenicline page lists 20 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (moderate), Coffee Charcoal (moderate), European Mandrake (moderate) and Glucomannan (moderate).

By severity: 1 major · 10 moderate · 9 minor.

From our pharmacist’s overview on the Varenicline page

“For anyone taking varenicline (Chantix, Champix, Tyrvaya) to quit smoking, this list earns real caution rather than a quick skim. Activated charcoal is the single entry rated major; it binds many medicines in the gut and can pull varenicline's blood levels down, and losing that support mid-quit is a genuine setback.”

Reviewed by 2 · Jul 18, 2026

Open the Varenicline interaction page

One more smart check

Taking Maritime Pine as Part of a Dietary Supplement Product? Check It for Interactions

We hold 452 real supplement products containing Maritime Pine, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Maritime Pine. Even though Maritime Pine itself has no known interaction with Varenicline, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Maritime Pine and Varenicline 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 Maritime Pine
Top 25%

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

29 days ago today
Medication Varenicline
Top half

#1,238 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 Maritime Pine reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Maritime Pine and Varenicline records this page draws on were last updated July 11, 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 Maritime Pine

What is Maritime Pine?

Maritime Pine
  • Circulation and vein health
  • Antioxidant support
  • Skin health and aging
  • High blood pressure
  • Joint comfort

Maritime pine bark extract (often sold as Pycnogenol) is a plant-based antioxidant most studied for circulation, vein, and skin health. Some research is promising, but many studies are small or industry-funded, so benefits are not firmly proven. It is generally well tolerated, but talk to your pharmacist or doctor before starting it.

Pinus pinaster · Pinaceae · Bark (extract) · Capsules, tablets, creams, and topical gels

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

Maritime Pine: dosing

There is no single official dose of maritime pine bark extract. Doses used in studies have varied depending on the product and the condition being studied, and most research has used standardized branded extracts.Because strength and quality differ between brands, follow the directions on the product label and do not exceed the recommended amount.

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

Read the full Maritime Pine monograph & all interactions
Medication

About Varenicline

What Is Varenicline Used For?

Brand names: Chantix, Champix, Tyrvaya

Varenicline tablets — sold under brand names including Chantix — are used to help adults quit smoking. They work as part of a structured smoking cessation program.

Tyrvaya (varenicline solution) nasal spray is a separate product used to treat the signs and symptoms of dry eye disease. It is not used for smoking cessation.

Most-Reported Side Effects for Varenicline

From FAERS, the FDA’s public side-effect reporting system (0 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Nausea 14,514 reports
Depression 8,686 reports
Abnormal dreams 7,841 reports
Anxiety 5,978 reports
Insomnia 5,620 reports
See full Varenicline drug information
Keep checking

Other Drugs & Maritime Pine

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

0Major
327Moderate
0Minor
2,502No known interaction
327 Moderate 2,502 No interaction
Moderate

327 interactions

Showing 60 of 327 moderate interactions — see all 327 on the Maritime Pine page.

No interaction 2,502 drugs checked — show the list

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

Showing the 60 most looked-up of 2,502 medications checked with no known interaction — see the full Maritime Pine list.

See the full Maritime Pine interactions page
See every supplement checked against Varenicline, ranked by severity
Evidence & sources

Maritime Pine References

The 14 references that drive our Maritime Pine 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. Rice-Evans CA, Packer L, eds. Flavonoids in Health and Disease. Manhattan, NY: Marcel Dekker, Inc., 1998.
  2. Liu FJ, Zhang YX, Lau BH. Pycnogenol enhances immune and haemopoietic functions in senescence-accelerated mice. Cell Mol Life Sci 1998;54:1168-72. PubMed
  3. Putter M, Grotemeyer KH, Wurthwein G, et al. Inhibition of smoking-induced platelet aggregation by aspirin and pycnogenol. Thromb Res 1999;95:155-61. PubMed
  4. Kohama T, Inoue M. Pycnogenol alleviates pain associated with pregnancy. Phytother Res 2006;20:232-4.
  5. Liu X, Zhou HJ, Rohdewald P. French maritime pine bark extract pycnogenol dose-dependently lowers glucose in type 2 diabetic patients (letter). Diabetes Care 2004;27:839. PubMed
  6. Liu X, Wei J, Tan F, et al. Antidiabetic effect of Pycnogenol French maritime pine bark extract in patients with diabetes type II. Life Sci 2004;75:2505-13. PubMed
  7. Wilson D, Evans M, Guthrie N et al. A randomized, double-blind, placebo-controlled exploratory study to evaluate the potential of pycnogenol for improving allergic rhinitis symptoms. Phytother Res 2010;24:1115-9.
  8. Araghi-Niknam, M., Hosseini, S., Larson, D., Rohdewald, P., and Watson, R. R. Pine bark extract reduces platelet aggregation. Integr.Med. 3-21-2000;2(2):73-77. PubMed
  9. Trebaticka, J., Kopasova, S., Hradecna, Z., Cinovsky, K., Skodacek, I., Suba, J., Muchova, J., Zitnanova, I., Waczulikova, I., Rohdewald, P., and Durackova, Z. Treatment of ADHD with French maritime pine bark extract, Pycnogenol. Eur.Child Adolesc.Psychi PubMed
  10. Suzuki, N., Uebaba, K., Kohama, T., Moniwa, N., Kanayama, N., and Koike, K. French maritime pine bark extract significantly lowers the requirement for analgesic medication in dysmenorrhea: a multicenter, randomized, double-blind, placebo-controlled study
  11. Cisar, P., Jany, R., Waczulikova, I., Sumegova, K., Muchova, J., Vojtassak, J., Durackova, Z., Lisy, M., and Rohdewald, P. Effect of pine bark extract (Pycnogenol) on symptoms of knee osteoarthritis. Phytother.Res. 2008;22(8):1087-1092.
  12. Enseleit, F., Sudano, I., Periat, D., Winnik, S., Wolfrum, M., Flammer, A. J., Frohlich, G. M., Kaiser, P., Hirt, A., Haile, S. R., Krasniqi, N., Matter, C. M., Uhlenhut, K., Hogger, P., Neidhart, M., Luscher, T. F., Ruschitzka, F., and Noll, G. Effects
  13. Schoonees, A., Visser, J., Musekiwa, A., and Volmink, J. Pycnogenol(R) (extract of French maritime pine bark) for the treatment of chronic disorders. Cochrane.Database.Syst.Rev. 2012;4:CD008294.
  14. Wang S, Tan D Zhao Y et al. The effect of pycnogenol on the microcirculation, platelet function and ischemic myocardium in patients with coronary artery diseases. Eur Bull Drug Res 1999;7:19-25.

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 Maritime Pine and Varenicline Together: Common Questions

Is it safe to take Maritime Pine with Varenicline?
We do not list a known interaction between Maritime Pine and Varenicline. 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 Maritime Pine and Varenicline have any of the same side effects?
Yes — our sources link each of them separately to 4 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.
Should I take Maritime Pine and Varenicline at the same time of day?
At least one FDA label for a product containing Varenicline says to take it with food. If you take Maritime Pine on an empty stomach out of habit, keep them separate and take Varenicline with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Varenicline products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Maritime Pine and Varenicline combination checked?
Interactions in our licensed database are recorded against drug classes. Varenicline is filed under 3 classifications, and Maritime Pine has documented interactions with 3 drug classes — none of Varenicline'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 Maritime Pine interact with any other medications?
Yes. Maritime Pine has 327 documented drug interactions in our database — Varenicline 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 Varenicline interact with any supplements?
Yes. Varenicline has documented interactions with 20 supplements in our database — Maritime Pine is not one of them. The Varenicline 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

Maritime Pine monograph Uses, safety profile, and every drug interaction in one place Varenicline drug information The full plain-English guide to this medication Varenicline supplement interactions Every supplement checked against Varenicline, 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 14 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Varenicline and Maritime Pine?

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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.