Herb & supplement monograph

Apple Polyphenols Drug Interactions, Uses, Effectiveness, Safety & More

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Reviewed by licensed pharmacists Sourced from Natural Medicines
Interaction report

Drugs that interact with Apple Polyphenols

13 medications have a known interaction with Apple Polyphenols, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
Inhaled InsulinExubera› InsulinNovoRapid Insulin› Insulin (bovine)Hypurin Bovine Neutral› Insulin (human)Afrezza, Novolin 70/30, Novolin L, Novolin N, Novolin R› Insulin (pork)Hypurin Porcine Neutral, Lente Iletin II, NPH Iletin, NPH Iletin II, Pork Actrapid, Regular Iletin +1 more› Insulin (rdna)Actrapid, Humalog, Humalog Mix 75/25, Humulin 50/50, Humulin 70/30, Humulin L +8 more› Insulin GlargineBasaglar, Lusduna, Semglee› Insulin Glargine (rdna)Lantus› Insulin Glargine RecombinantToujeo Solostar› Insulin Glargine, LixisenatideSoliqua 100/33› Insulin Human, Sodium ChlorideMyxredlin› Insulin Lispro RecombinantHumalog Kwikpen› Insulin DetermirLevemir› "phentolamineOraVerse, Rogitine, Ryzumvi› 6-mercaptopurinePurinethol› Ado-trastuzumab EmtansineKadcyla› AbacavirZiagen› Abacavir Sulfate, Dolutegravir, LamivudineTriumeq› Abacavir, LamivudineEpzicom› AbaloparatideTymlos› AbametapirXeglyze› AbarelixPlenaxis› AbciximabReoPro› AbemaciclibVerzenio› Abiraterone› Abiraterone AcetateYonsa, Zytiga› AbrocitinibCibinqo› AcalabrutinibCalquence› AcamprosateCampral› AcarboseGlucobay, Prandase, Precose›
Read The List Like a Pharmacist

What 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 Apple Polyphenols combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Apple Polyphenols affects

Every type of medication (drug category) Apple Polyphenols is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 1 drug category Apple Polyphenols interacts with
Insulin
Insulin

In healthy adults, taking 900-1800 mg of a polyphenol-rich apple extract prior to a meal delays the time to peak postprandial blood glucose levels. Theoretically, apple polyphenols might have additive effects when used concomitantly with certain insulin products and may increase the risk of hypoglycemia. Monitor blood glucose levels closely. Timing of insulin administration may need to be adjusted.

Likelihood Probable Evidence B
Monograph

Apple Polyphenols: Uses, Safety & Side Effects

The bottom line

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.

Apple Polyphenols
Scientific name
Malus domestica
Family
Rosaceae
Part used
Fruit, peel, and pomace (sometimes unripe apples)
Common forms
Capsules, tablets, powders, and standardized extracts
People commonly use it for
  • High cholesterol
  • High blood pressure
  • Weight management
  • Antioxidant support
  • Blood sugar support
  • Skin health (topical)

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Likely safe in food amounts; concentrated supplements are less studied for long-term use.

PregnancyInsufficient reliable information

Insufficient evidence; avoid using.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient evidence; avoid using.

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Jump to a section

Overview

Apple polyphenols are natural plant compounds (phytochemicals) found in apples, especially in the peel and in unripe fruit. They are concentrated and sold as supplements made from apple extract.

Apples come from the apple tree, Malus domestica, which is grown around the world in temperate climates. The fruit naturally contains a mix of polyphenols such as chlorogenic acid, phlorizin, phloretin, epicatechin, procyanidins, quercetin, and kaempferol.

People take apple polyphenol supplements hoping to support heart health, manage weight, lower blood sugar, and get general antioxidant benefits. Some products are also used on the skin.

How it works

Apple polyphenols are studied mainly for their antioxidant activity, meaning they may help reduce damage from unstable molecules called free radicals.

The mix of compounds includes procyanidins, epicatechin, chlorogenic acid, quercetin, phloretin, and phlorizin. In laboratory and animal research, some of these compounds appear to affect how the body handles fats and sugar. For example, phlorizin has been studied for blocking sugar absorption in the gut, and certain polyphenols may have anti-inflammatory effects.

It is important to know that much of this research comes from test tube and animal studies, not large human trials. So these mechanisms are best seen as proposed explanations, not proven effects in people.

Effectiveness

Does Apple Polyphenols work?

Evidence overview · 6 uses evaluated
6 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.

For Apple Polyphenols, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 6 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Allergic rhinitis (hay fever)
Rating & evidence shown verbatim from Natural Medicines

Preliminary clinical research in adults with moderate or severe persistent allergic rhinitis due to dust mite allergy shows that taking a specific supplement (Applephenon, Asahi Food and Healthcare Ltd) containing apple polyphenols 50 mg or 200 mg in a drink daily for 4 weeks reduces the frequency of sneezing attacks when compared with placebo. The higher 200 mg dose also reduces nasal discharge when compared with placebo. Preliminary clinical research in patients with allergic rhinitis caused by Japanese cedar shows that taking apple polyphenol 500 mg once daily for 12 weeks, beginning about 2 weeks prior to cedar pollen dispersion, reduces sneezing, but not symptoms such as rhinorrhea and eye itching, when compared with placebo.

Sources Ref 94859 Ref 94861
Insufficient Reliable Evidence To Rate Androgenic alopecia
Rating & evidence shown verbatim from Natural Medicines

Preliminary clinical research in adults with male pattern baldness shows that applying 1.8 mL of apple polyphenol procyanidin 0.7% to 1% twice daily to the scalp for 6-12 months increases hair growth when compared with placebo.

Insufficient Reliable Evidence To Rate Athletic performance
Rating & evidence shown verbatim from Natural Medicines

Clinical research in healthy physically active males shows that taking a specific supplement (Vinitrox, Nexira) containing 500 mg apple and grape polyphenols two times prior to an endurance test results in a 10% increase in time to exhaustion, or about 3 additional minutes, when compared with placebo. However, there were no differences between groups in recovery time and muscle pain.

Sources Ref 94858
Insufficient Reliable Evidence To Rate Hyperlipidemia
Rating & evidence shown verbatim from Natural Medicines

Preliminary clinical research in adults with hyperlipidemia shows that consuming lyophilized apples containing polyphenols 1.43 grams daily for 4 weeks does not affect cholesterol levels or brachial artery flow-mediated vasodilation (FMD) when compared with consuming apples containing polyphenols 0.21 grams. However, other preliminary clinical research shows that taking 2 capsules of a specific supplement (AppleMetS) containing 400 mg of apple polyphenolic extract per capsule daily for 8 weeks reduces low-density lipoprotein (LDL) cholesterol levels and increases high-density lipoprotein (HDL) cholesterol levels in patients with hyperlipidemia when compared to baseline. The validity of these findings is limited by the lack of a comparator group.

Insufficient Reliable Evidence To Rate Hypertension
Rating & evidence shown verbatim from Natural Medicines

Preliminary clinical research in patients with hypertension or borderline hypertension shows that taking an apple polyphenol extract 330 mg daily for 4 weeks does not improve blood pressure or endothelial function, as measured by flow-mediated vasodilation (FMD), when compared with placebo. However, given the small study size and that blood pressure was a secondary endpoint, it is likely the study was not adequately powered to detect a difference between groups.

Sources Ref 102020
Insufficient Reliable Evidence To Rate Obesity
Rating & evidence shown verbatim from Natural Medicines

Clinical research in healthy, overweight adults shows that drinking a beverage containing 600 mg of a specific apple polyphenol product (Applephenon, Asahi Food and Healthcare, Ltd.) daily for 12 weeks reduces total fat when compared with placebo. Additional clinical research in adults with a body mass index (BMI) in the range of 23-30 shows that taking apple polyphenol 600 mg before dinner for 12 weeks reduces visceral fat when compared to control.

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

Apples as a food are widely eaten and considered safe. Apple polyphenols as a concentrated supplement appear to be generally well tolerated when used by mouth for the short term, but long-term safety is not well studied.

People with allergies to apples should avoid these products. If you have a medical condition or take prescription medicines, check with your pharmacist or doctor before starting a supplement.

For pregnancy and breastfeeding, eating apples is fine, but concentrated extracts have not been properly studied. To be safe, avoid apple polyphenol supplements during pregnancy and breastfeeding unless your healthcare provider says otherwise.

Side effects

Apple polyphenol supplements are usually well tolerated. When side effects occur, they tend to be mild and may include stomach upset, gas, or bloating.

Allergic reactions are possible in people sensitive to apples. Serious side effects have not been commonly reported, but because long-term human data are limited, it is wise to start with a low amount and watch how your body responds.

Apple Polyphenols: Reported Adverse Effects

Documented safety reports on Apple Polyphenols from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Reports by condition
Cluster headache Neurologic/CNS

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.

  1. 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.
Diarrhea Gastrointestinal
Myasthenia gravis Pulmonary/Respiratory

Orally, taking apple polyphenols might cause nasopharyngitis in some patients. In one clinical trial, 8.6% of patients taking apple polyphenols 330 mg daily for 4 weeks experienced nasopharyngitis. This adverse effect was also reported in 5.1% of patients taking placebo.

  1. 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.
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.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

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. Because doses and product quality differ, talk with your pharmacist or doctor before starting, especially if you have a health condition or take other medicines.

Pregnancy & Breastfeeding

Apple Polyphenols & Pregnancy

Insufficient reliable information

Insufficient evidence; avoid using.

Apple Polyphenols & Breastfeeding

Insufficient reliable information

Insufficient evidence; 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

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

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
Keep reading

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

Pharmacist Counseling Corner

Apple Polyphenols: Common Questions

What is Apple Polyphenols used for, and does it work?
People use Apple Polyphenols for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does Apple Polyphenols interact with prescription medications?
Yes. We list 13 medications with a known interaction with Apple Polyphenols. Use the checker above to see how Apple Polyphenols interacts with a specific drug.
How are Apple Polyphenols interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Apple Polyphenols with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Apple Polyphenols interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What are Apple Polyphenols used for?
People commonly take them for heart health, cholesterol, blood pressure, weight management, blood sugar, and general antioxidant support. However, there is not enough strong human evidence to confirm they work for these purposes.
Are apple polyphenol supplements safe?
They appear generally safe when taken short-term by mouth, with mild stomach upset being the most common complaint. Long-term safety is less studied, so check with your pharmacist or doctor before regular use.
Can I just eat apples instead of taking a supplement?
Eating whole apples, especially with the peel, gives you polyphenols along with fiber and other nutrients. Many people get benefits simply from a balanced diet that includes fruit.
Can I take Apple Polyphenols while pregnant or breastfeeding?
Eating apples is fine, but concentrated extracts have not been studied in pregnancy or breastfeeding, so it is safest to avoid the supplements unless your doctor approves.

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

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