Herb & supplement monograph

Avocado Soy Unsaponifiables (asu) Drug Interactions, Uses, Effectiveness, Safety & More

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Reviewed by licensed pharmacists Sourced from Natural Medicines
Interaction report

Drugs that interact with Avocado Soy Unsaponifiables (asu)

0 medications have a known interaction with Avocado Soy Unsaponifiables (asu), graded by severity. Select any drug for the full evidence-based detail.

We don’t currently list any known drug interactions for Avocado Soy Unsaponifiables (asu). This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.

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 Avocado Soy Unsaponifiables (asu) combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Avocado Soy Unsaponifiables (asu): Uses, Safety & Side Effects

The bottom line

Avocado Soy Unsaponifiables (ASU) is a plant-oil extract studied mainly for osteoarthritis of the knee and hip, where some research suggests it may modestly ease pain and improve joint function. It is generally well tolerated, but the evidence is mixed and effects build slowly over months. Talk with your pharmacist or doctor before starting, especially if you take other medicines or have allergies.

Avocado Soy Unsaponifiables (asu)
Part used
Oils from avocado fruit (Persea americana) and soybean (Glycine max)
Common forms
Capsules, softgels (often combined with glucosamine and chondroitin in joint supplements)
People commonly use it for
  • Osteoarthritis of the knee and hip
  • Joint pain and stiffness
  • Reducing reliance on NSAIDs
  • Cartilage support
  • Temporomandibular joint (TMJ) discomfort

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

Safety at a glance
OverallUse caution

Generally well tolerated for short to medium-term use, but long-term safety is not fully established.

PregnancyBest avoided

Not enough safety data, so it is best avoided during pregnancy.

BreastfeedingInsufficient reliable information

Insufficient reliable information available; 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.

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Overview

Avocado Soy Unsaponifiables (ASU) is a natural extract made from the oils of avocados and soybeans. The "unsaponifiable" part means the fraction of the oil that does not turn into soap when processed — this is the part that contains the plant compounds thought to be active.

ASU is most often sold as a capsule or softgel, sometimes on its own and sometimes combined with other joint ingredients like glucosamine and chondroitin (for example in some pet and human joint products). It is most commonly used to help with the aches and stiffness of osteoarthritis, especially in the knee and hip.

How it works

ASU contains a mix of plant compounds, including phytosterols, tocopherols (vitamin E compounds), and triterpene alcohols. The exact makeup can vary between products and manufacturers.

In laboratory and animal studies, ASU appears to lower certain inflammatory signals in the joint (such as TNF-alpha, interleukin-17, and prostaglandin E2) and reduce enzymes that break down cartilage. It may also help support the cells that build and repair cartilage. These findings help explain why researchers think ASU could protect joints, but most of this work is from cell and animal research — it does not prove the same effects happen in people.

Effectiveness

Does Avocado Soy Unsaponifiables (asu) work?

Evidence overview · 5 uses evaluated
1 Possibly effective 4 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.
Possibly Effective Osteoarthritis
Rating & evidence shown verbatim from Natural Medicines

Short-term use of oral avocado soy unsaponifiables in patients with knee and hip osteoarthritis seems to reduce pain, disability, and analgesic use. Longer-term use in patients with hip osteoarthritis might reduce disease progression and joint space narrowing in those with more severe disease, but effects on pain and joint space narrowing in those with less severe disease are unclear.

Also studied for 4 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Back pain
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral avocado soy unsaponifiables for chronic back pain, there is insufficient reliable information about the clinical effects of avocado soy unsaponifiables for this purpose.

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

It is unclear if avocado soy unsaponifiables are beneficial for the management of menopausal symptoms.

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

It is unclear if avocado soy unsaponifiables are beneficial in patients with obesity.

Insufficient Reliable Evidence To Rate Temporomandibular disorders (TMD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if avocado soy unsaponifiables are beneficial in females with TMD.

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

ASU is generally considered well tolerated in studies lasting up to a few years, with side effects that are usually mild. Still, long-term safety has not been fully established.

Because ASU comes from avocado and soybean, people with avocado or soy allergies should be cautious or avoid it. If you have a latex allergy, note that some people with this allergy also react to avocado.

Safety during pregnancy and breastfeeding has not been studied, so it is best to avoid ASU during these times. Children should not take it unless a doctor advises. Always tell your pharmacist or doctor about any supplements you are taking, especially if you have a medical condition or take other medicines.

Side effects

The most commonly reported side effects are mild and involve the stomach and digestion, such as upset stomach, reflux, or nausea. Taking it with food may help.

Allergic reactions are possible, especially in people sensitive to avocado or soy. Stop using ASU and seek medical care if you notice signs of a serious allergic reaction such as rash, swelling, or trouble breathing.

Avocado Soy Unsaponifiables (asu): Reported Adverse Effects

Documented safety reports on Avocado Soy Unsaponifiables (asu) from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Reports by condition
Cluster headache Neurologic/CNS
Constipation Gastrointestinal
Dermatitis Dermatologic
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 official standardized dose for ASU, and products can differ in strength and content. Many studies have used a once-daily capsule of a standardized ASU extract, but the right amount for you depends on the specific product.

The safest approach is to follow the directions on the product label and check with your pharmacist or doctor before starting. Because ASU works slowly, it may take two to three months before you can judge whether it is helping.

Pregnancy & Breastfeeding

Avocado Soy Unsaponifiables (asu) & Breastfeeding

Insufficient reliable information

Insufficient reliable information available; 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 3 references that drive our Avocado Soy Unsaponifiables (asu) 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. Maheu E, Mazieres B, Valat JP, et al. Symptomatic efficacy of avocado/soybean unsaponifiables in the treatment of osteoarthritis of the knee and hip: a prospective, randomized, double-blind, placebo-controlled, multicenter clinical trial with a six-month
  2. Lequesne M, Maheu E, Cadet C, Dreiser RL. Structural effect of avocado/soybean unsaponifiables on joint space loss in osteoarthritis of the hip. Arthritis Rheum 2002;47:50-8.. PubMed
  3. Christiansen BA, Bhatti S, Goudarzi R, Emami S. Management of osteoarthritis with avocado/soybean unsaponifiables. Cartilage. 2015;6(1):30-44. 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

Avocado Soy Unsaponifiables (asu): Common Questions

What is Avocado Soy Unsaponifiables (asu) used for, and does it work?
People use Avocado Soy Unsaponifiables (asu) for many reasons, but the evidence varies by use. According to the Natural Medicines database, there is at least some clinical evidence supporting Avocado Soy Unsaponifiables (asu) for Osteoarthritis. For most other uses it has been studied for, the evidence is currently insufficient to rate. See the graded list on this page, and always confirm with your pharmacist or doctor.
Does Avocado Soy Unsaponifiables (asu) interact with prescription medications?
We do not currently list any known drug interactions for Avocado Soy Unsaponifiables (asu). This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Avocado Soy Unsaponifiables (asu) 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 Avocado Soy Unsaponifiables (asu) 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 Avocado Soy Unsaponifiables (asu) 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 is ASU used for?
ASU is most commonly used to help ease the pain and stiffness of osteoarthritis, especially in the knee and hip. Some people also use it to try to reduce how often they need pain relievers.
How long does it take to work?
ASU acts slowly. Most studies suggest you may need to take it for about two to three months before knowing whether it helps your joints.
Is ASU safe if I'm allergic to avocado or soy?
No. Since ASU is made from avocado and soybean oils, people with allergies to either should avoid it or speak with a doctor first.
Can I take ASU instead of my arthritis medicine?
You should not stop or replace prescribed treatments without talking to your doctor. ASU may offer modest help for some people, but it is not a proven substitute for standard arthritis care.

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

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