Divi-divi Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Divi-divi interacts with medications. The heart of this page is the interaction list — every drug Divi-divi is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Divi-divi 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 Divi-divi against your medication
Add one medicationDrugs that interact with Divi-divi
0 medications have a known interaction with Divi-divi, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Divi-divi. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.
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 Divi-divi combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Divi-divi: Uses, Safety & Side Effects
Divi-divi is a tropical tree whose tannin-rich seed pods have long been used in leather tanning and in traditional folk remedies, mostly as an astringent. There is very little modern human research to support any health benefit, so it should not be relied on to treat any medical condition. If you are considering it, talk with a pharmacist or doctor first.
- Scientific name
- Caesalpinia coriaria
- Family
- Fabaceae
- Part used
- Seed pods (and sometimes bark)
- Common forms
- Powdered pod extract, decoctions, and traditional topical preparations
- Source of tannins for tanning leather
- Traditional astringent for skin
- Mouth and throat irritation (traditional gargles)
- Wound and sore care (folk use)
- Mild digestive complaints (folk use)
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
There is little reliable human safety data for medicinal use of divi-divi.
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
Divi-divi (Caesalpinia coriaria) is a small, often wind-bent tropical tree in the legume family. It grows in dry, coastal areas of the Caribbean, Central America, and northern South America, and its curved seed pods are its most recognized feature.
The pods are very rich in plant compounds called tannins. Historically, the main commercial use of divi-divi has been industrial: the pods were harvested to make extracts used in tanning leather and as a source of natural dyes and ink.
In some traditional and folk practices, divi-divi pods have also been used in homemade remedies — usually as an astringent for the skin, mouth, or minor wounds. These uses come from tradition rather than from strong scientific testing.
How it works
Divi-divi pods are loaded with tannins, a group of plant polyphenols. Tannins bind to and shrink proteins, which is why tannin-rich plants feel drying or puckering in the mouth and are used to tan leather.
This astringent action is the proposed basis for traditional uses: tannins may help tighten irritated tissue and create an unfriendly surface for some microbes. Laboratory studies have reported antioxidant and antimicrobial effects from tannin-rich extracts.
It is important to know that these findings come mostly from laboratory and test-tube research. Effects seen in a lab do not reliably predict benefits or safety in the human body.
Does Divi-divi work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Divi-divi, 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 Asthma
Although there is interest in using oral divi-divi for asthma, there is insufficient reliable information about the effects of divi-divi for this condition.
Insufficient Reliable Evidence To Rate Benign prostatic hyperplasia (BPH)
Although there is interest in using oral divi-divi for BPH, there is insufficient reliable information about the effects of divi-divi for this condition.
Insufficient Reliable Evidence To Rate Diabetes
Although there is interest in using oral divi-divi for diabetes, there is insufficient reliable information about the effects of divi-divi for this condition.
Insufficient Reliable Evidence To Rate Intestinal parasite infection
Although there is interest in using oral divi-divi for intestinal parasite infection, there is insufficient reliable information about the effects of divi-divi for this condition.
Insufficient Reliable Evidence To Rate Malaria
Although there us interest in using oral divi-divi for malaria, there is insufficient reliable information about the effects of divi-divi for this condition.
Insufficient Reliable Evidence To Rate Polycystic ovary syndrome (PCOS)
Although there is interest in using oral divi-divi for PCOS, there is insufficient reliable information about the effects of divi-divi for this condition.
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
There is not enough reliable human data to call divi-divi clearly safe for internal use. Tannin-rich plant preparations can irritate the stomach and may cause nausea, especially in larger amounts or with regular use.
People with sensitive stomachs, those who are prone to constipation, and anyone with a known plant allergy should be cautious. Topical use on broken skin may cause irritation in some people.
Pregnancy and breastfeeding: Safety has not been studied, so divi-divi should be avoided if you are pregnant or nursing. Children, older adults, and people with chronic medical conditions should not use it without first checking with a healthcare professional.
Because supplement quality varies and divi-divi products are not well standardized, talk with a pharmacist or doctor before using it.
Side effects
Reliable side-effect data is lacking because the plant has not been carefully studied as a medicine. Based on its high tannin content, possible effects include:
- Stomach upset, nausea, or cramping with internal use
- Constipation with frequent use
- A dry, puckering feeling in the mouth from gargles
- Skin irritation with topical preparations
Allergic reactions are possible with any plant product. Stop using divi-divi and seek medical care if you notice a rash, swelling, trouble breathing, or other signs of a serious reaction.
Dosing
There is no established or standardized medicinal dose for divi-divi. Traditional preparations vary widely and are not measured in a consistent way.
If you choose to use a product that contains divi-divi, follow the directions on the label and do not exceed the suggested amount. Because reliable dosing and safety information is missing, it is best to check with a pharmacist or doctor before starting, and to avoid long-term or high-dose use.
Divi-divi & Pregnancy
Divi-divi & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 1 sources that drive our Divi-divi monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing.
- Tannins — MedlinePlus / NIH Source
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.
Brands that make products with Divi-divi
6 brands in our database make a supplement containing Divi-divi.
Supplement products with Divi-divi
20 products in our database contain Divi-divi. Open any to see its full ingredient list and every drug interaction we check.
Divi-divi: Common Questions
What is Divi-divi used for, and does it work?
Does Divi-divi interact with prescription medications?
How are Divi-divi interactions rated?
Is it safe to take Divi-divi with my medications?
Where does this Divi-divi interaction information come from?
What is Divi-divi mainly used for?
Is Divi-divi safe to take?
Can I use Divi-divi while pregnant or breastfeeding?
Does Divi-divi actually treat infections or other illnesses?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Divi-divi
A rotating sample of real supplements in our database that list Divi-divi — open any to see its full ingredients and every drug interaction we check.
- ProstaCare by Himalaya
- Bonducella Seed Powder by Bixa Botanical
- Bonducella by Herbal Terra
- Bonducella Alcohol Free by Hawaii Pharm
- Dia Care Churna by Herbal Hills
- Bonducella by Herbal Terra
- Bonducella by Hawaii Pharm
- Bonducella by Herbal Terra
- ProstaCare by Himalaya
- Bonducella Alcohol Free by Herbal Terra
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