Ellagic Acid Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Ellagic Acid interacts with medications. The heart of this page is the interaction list — every drug Ellagic Acid is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Ellagic Acid 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
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Add one medicationEllagic Acid Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, the overall risk of a clinically significant Ellagic Acid drug interaction appears low for most people, with the main caution applying to those who take medicines that lower blood sugar. None of the listed interactions are rated major, and the dozens of medications involved all fall into a single moderate concern centered on blood sugar control.
The interaction that deserves the most attention involves diabetes medications such as metformin. Some clinical research shows ellagic acid can lower fasting and after-meal blood sugar in people with type 2 diabetes who are already on stable doses of these medicines. In theory, combining them could push blood sugar too low, so this pairing matters most for anyone whose glucose is closely managed.
Although many individual medications appear on the interaction list, they nearly all trace back to this one blood sugar effect rather than dozens of separate problems. The concern about added low blood sugar remains largely theoretical, since studies so far show a glucose-lowering effect but have not confirmed harmful drops when the two are combined. For people not taking diabetes medicines, we see nothing in the data that stands out.
Based on HelloPharmacist’s Ellagic Acid interaction data and reviewed under our editorial standards.
Drugs that interact with Ellagic Acid
86 medications have a known interaction with Ellagic Acid, graded by severity. Select any drug for the full evidence-based detail.
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Tell us the medications you take and we’ll check each one against Ellagic Acid using our pharmacist-reviewed interaction data.
AI summaries are generated from our Ellagic Acid interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
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 Ellagic Acid combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The kinds of drugs Ellagic Acid affects
Every type of medication (drug category) Ellagic Acid is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Antidiabetes Drugs
Some clinical research shows that ellagic acid reduces fasting and postprandial glucose levels in patients with type 2 diabetes who are on stable doses of hypoglycemic agents such as metformin. Theoretically, taking ellagic acid with antidiabetes drugs might increase the risk of hypoglycemia.
Ellagic Acid: Uses, Safety & Side Effects
Ellagic acid is a natural plant compound (a polyphenol) found in foods like pomegranates, raspberries, strawberries, and walnuts. It is studied mostly in laboratory and animal research for antioxidant and possible anti-cancer effects, but strong human evidence is lacking. Eating ellagic-acid-rich foods is healthy, but supplements are not proven to treat any disease, so check with a pharmacist or doctor before using them.
- Part used
- Naturally found in the fruit, seeds, and skins of many plants
- Common forms
- Capsules, tablets, powders, and as part of fruit extracts (such as pomegranate or red raspberry seed extract)
- Antioxidant support
- General anti-aging or 'cleanse' products
- Cancer prevention interest
- Skin and beauty products
- Heart and metabolic health
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally considered safe in foods, but concentrated supplements are not well studied in humans.
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
Ellagic acid is a natural compound called a polyphenol. It is found in many plant foods, especially fruits and nuts. Some of the richest natural sources include pomegranates, raspberries, strawberries, blackberries, walnuts, and pecans.
In the body, ellagic acid is also formed when your gut bacteria break down related plant compounds called ellagitannins. People take it as a supplement because of its antioxidant properties and its appearance in many "cleanse," anti-aging, and immune-support products.
It is sold on its own as capsules or powders, and it is often part of fruit extracts like pomegranate or red raspberry seed extract.
How it works
Ellagic acid is thought to work mainly as an antioxidant. Antioxidants can help protect cells from damage caused by unstable molecules called free radicals.
In laboratory studies, it has also shown effects on inflammation, and it appears to influence certain enzymes and signals inside cells that are involved in how cells grow and die. Some researchers believe these actions explain its interest in cancer research.
It's important to know that ellagic acid is not absorbed very well from the gut. Much of what we eat is changed by gut bacteria into other compounds called urolithins, which may be responsible for some of the effects seen in research. Most of these mechanisms are based on cell and animal studies and have not been confirmed in people.
Does Ellagic Acid work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Ellagic Acid, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 7 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Bladder cancer
Low-quality, observational research in adults with intermediate- to high-risk non-muscular invasive bladder cancer has found that taking ellagic acid 100 mg and graviola 100 mg daily for 6 months following an induction cycle is associated with 83% higher recurrence-free survival when compared with no intervention. However, taking this combination was only associated with higher recurrence-free rates at 6 months, not at 12 months. All subjects included in this study were unable to receive standard recurrence prevention therapy with Bacillus Calmette-Guerin (BCG).
Insufficient Reliable Evidence To Rate Cognitive function
A preliminary clinical study shows that taking ellagic acid 50 mg once daily for 12 weeks improves cognitive function and IQ compared to placebo in overweight, middle-aged patients. Taking ellagic acid does not improve these measurements in patients with normal weight.
Insufficient Reliable Evidence To Rate Diabetes
A small clinical trial in patients with type 2 diabetes shows that taking ellagic acid 180 mg daily for 8 weeks has beneficial effects on glycemic status, insulin resistance, and lipid levels when compared with placebo. Fasting blood glucose was reduced by 37 mg/dL, glycated hemoglobin (HbA1c) by 1.3%, and low-density lipoprotein (LDL) cholesterol by 15%, with no change in high-density lipoprotein (HDL) cholesterol. Further research is needed to determine the long-term impact of ellagic acid on glycemic parameters.
Insufficient Reliable Evidence To Rate Human papillomavirus (HPV)
Preliminary clinical research shows that taking a combination of ellagic acid 16 mg and graviola 100 mg orally twice daily for 6 months increases the clearance of high-risk HPV by 3-fold when compared with placebo in females with HPV and low-grade squamous intraepithelial lesion (L-SIL). Active treatment also reduces the risk of progression of L-SIL to high-grade squamous intraepithelial lesion (H-SIL) by 12.5% when compared with placebo.
Insufficient Reliable Evidence To Rate Melasma
Preliminary clinical research in females with epidermal and mixed melasma shows that applying a gel containing ellagic acid 1% twice daily to the face in the morning before sunscreen and at night for 6 months decreases pigmentation similarly to arbutin 1%. Other preliminary clinical research in females with melasma shows that applying a topical product containing ellagic acid 0.5% and salicylic acid 0.1% to the entire face twice daily for 12 weeks decreases the size and number of dark spots similarly to hydroquinone 4%. Higher patient satisfaction was noted with the ellagic acid product; however, greater improvement in skin firmness was seen for patients treated with hydroquinone. It is unclear if these effects were due to ellagic acid, salicylic acid, or the combination.
Insufficient Reliable Evidence To Rate Polycystic ovary syndrome (PCOS)
Clinical research in patients with PCOS shows that taking ellagic acid 200 mg daily for 8 weeks improves glycemic status, insulin resistance, and plasma lipid levels when compared with placebo. Ellagic acid reduced fasting blood glucose by 17 mg/dL and low-density lipoprotein (LDL) cholesterol by 15%, with no effect on high-density lipoprotein (HDL) cholesterol. Testosterone and prolactin levels, but not follicle stimulating hormone or luteinizing hormone, were modestly reduced. Further research is needed to determine the long-term impact of ellagic acid.
Insufficient Reliable Evidence To Rate Prostate cancer
A small preliminary clinical study in patients with hormone refractory prostate cancer shows that adding ellagic acid 60 mg every 8 hours orally during and in between chemotherapy cycles with vinorelbine and estramustine for 6 weeks reduces neutropenia, possibly indicating better tolerance to chemotherapy. However, it does not improve clinical response, progression-free survival, overall survival, or prostate-specific antigen (PSA) levels in these patients.
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
Ellagic acid is generally considered safe when eaten in normal food amounts, since it is naturally present in many common fruits and nuts. The safety of concentrated supplement doses is much less certain because there are few good human studies.
People who should be especially careful include those with existing medical conditions, those taking prescription medicines, and anyone preparing for surgery. Always talk to your pharmacist or doctor before starting a new supplement.
Pregnancy and breastfeeding: Eating ellagic-acid-rich foods is fine, but there is not enough safety information about concentrated supplements. To be safe, avoid ellagic acid supplements if you are pregnant or breastfeeding unless your doctor approves.
Side effects
When consumed in food, ellagic acid rarely causes problems. As a supplement, it has not been studied enough to give a clear list of side effects.
Possible mild effects with any plant supplement can include stomach upset, nausea, or digestive discomfort. Allergic reactions are uncommon but possible.
Because supplements are not tightly regulated, product quality and purity can vary. Stop using it and seek medical care if you have signs of an allergic reaction, such as rash, swelling, or trouble breathing.
Ellagic Acid: Reported Adverse Effects
Documented safety reports on Ellagic Acid from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Reports by conditionDiarrhea Gastrointestinal
Orally, a combination of ellagic acid and graviola was associated with nausea and diarrhea in 2 out of 30 patients in one clinical trial, leading to discontinuation. It is unclear if these effects are due to ellagic acid, graviola, or the combination.
- Le Donne M, Lentini M, Alibrandi A, et al. Antiviral activity of Ellagic acid and Annona Muricata in cervical HPV related pre-neoplastic lesions: A randomized trial. J Funct Food 2017;35:549-54.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no well-established standard dose of ellagic acid as a supplement. Research studies have used different amounts and different forms, so it is hard to recommend a specific milligram amount.
If you choose to use a product, follow the directions on the label and do not exceed the recommended dose. Choosing brands that use third-party testing can help with quality and purity.
Because the right dose and long-term safety are unknown, it is best to check with your pharmacist or doctor before starting, especially if you take other medicines or have a health condition.
Ellagic Acid & Pregnancy
Ellagic Acid & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 9 references that drive our Ellagic Acid 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.
- Ertam I, Mutlu B, Unal I, Alper S, Kivçak B, Ozer O. Efficiency of ellagic acid and arbutin in melasma: a randomized, prospective, open-label study. J Dermatol. 2008;35(9):570-4. PubMed
- Dahl A, Yatskayer M, Raab S, Oresajo C. Tolerance and efficacy of a product containing ellagic and salicylic acids in reducing hyperpigmentation and dark spots in comparison with 4% hydroquinone. J Drugs Dermatol. 2013;12(1):52-8.
- Falsaperla M, Morgia G, Tartarone A, Ardito R, Romano G. Support ellagic acid therapy in patients with hormone refractory prostate cancer (HRPC) on standard chemotherapy using vinorelbine and estramustine phosphate. Eur Urol. 2005;47(4):449-54 PubMed
- Le Donne M, Lentini M, Alibrandi A, et al. Antiviral activity of Ellagic acid and Annona Muricata in cervical HPV related pre-neoplastic lesions: A randomized trial. J Funct Food 2017;35:549-54. DOI
- Liu Y, Yu S, Wang F, et al. Chronic administration of ellagic acid improved the cognition in middle-aged overweight men. Appl Physiol Nutr Metab. 2018;43(3):266-73. PubMed
- Serretta V, Berardinis E, Simonato A, et al. A prospective observational study on oral administration of Ellagic Acid and Annona Muricata in patients affected by non-muscle invasive bladder cancer not undergoing maintenance after 6-week intravesical proph
- Ghadimi M, Foroughi F, Hashemipour S, et al. Randomized double-blind clinical trial examining the Ellagic acid effects on glycemic status, insulin resistance, antioxidant, and inflammatory factors in patients with type 2 diabetes. Phytother Res 2021;35(2) PubMed
- Kazemi M, Lalooha F, Nooshabadi MR, Dashti F, Kavianpour M, Haghighian HK. Randomized double blind clinical trial evaluating the Ellagic acid effects on insulin resistance, oxidative stress and sex hormones levels in women with polycystic ovarian syndrome PubMed
- Ghadimi M, Foroughi F, Hashemipour S, et al. Decreased insulin resistance in diabetic patients by influencing Sirtuin1 and Fetuin-A following supplementation with ellagic acid: a randomized controlled trial. Diabetol Metab Syndr 2021;13(1):16. PubMed
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
Brands that make products with Ellagic Acid
50 brands in our database make a supplement containing Ellagic Acid.
Supplement products with Ellagic Acid
123 products in our database contain Ellagic Acid. Open any to see its full ingredient list and every drug interaction we check.
Ellagic Acid: Common Questions
What is Ellagic Acid used for, and does it work?
Does Ellagic Acid interact with prescription medications?
How are Ellagic Acid interactions rated?
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Where does this Ellagic Acid interaction information come from?
What is Ellagic Acid used for?
Is Ellagic Acid the same as eating pomegranates or berries?
Is Ellagic Acid safe to take?
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Ellagic Acid
A rotating sample of real supplements in our database that list Ellagic Acid — open any to see its full ingredients and every drug interaction we check.
- Fucoxanthin Plus by Vitabase
- Xanthadrene 288 mg by NewtonEverett
- Core Support French Vanilla by Ortho Molecular Products
- Esophageal Guardian Berry Flavor by Life Extension
- Alpha CRS+ Cellular Vitality Complex by doTERRA
- Concentrated Fruits And Vegetables by Nutrilite
- Esophageal Guardian Berry Flavor by Life Extension
- Pomegranate 40:40 Complex by ProCaps Laboratories
- OptiCleanse GHI Rice Original by XYMOGEN
- Resveratrol 100 with Green Tea 100, Grape Seed 100, and Pomegranate 100 by ProCaps Laboratories
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