Herb & supplement monograph

Maqui Drug Interactions, Uses, Effectiveness, Safety & More

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Reviewed by licensed pharmacists Sourced from Natural Medicines

Maqui Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated July 2026

Based on the available evidence, the overall risk of a clinically significant Maqui drug interaction appears low for most people. None of the listed interactions are rated major or moderate, and every one of them is graded minor.

Interactions deserving the most attention

The combination most worth knowing about involves diabetes medications. In animal research, maqui berry lowered fasting blood sugar, so in theory adding it to these drugs could push blood sugar too low. That said, human studies in prediabetic people found that maqui extract, taken once or daily for three months, did not lower fasting blood sugar, which makes a meaningful effect in people less likely. If you take medicine for blood sugar, it is still sensible to keep an eye on your readings as you normally would.

What the rest of the list means

Maqui appears alongside a long list of medications, but a long list does not mean each pairing is harmful. These interactions are theoretical, drawn mostly from lab and animal findings, and the main predicted effect on blood sugar has not shown up in human studies so far.

Check your medications against Maqui

Based on HelloPharmacist’s Maqui interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Maqui

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

2,830 drugs
AcarboseGlucobay, Prandase, Precose› AcetohexamideDymelor› AlbiglutideTanzeum› AlogliptinNesina› Alogliptin, MetforminKazano› Alogliptin, PioglitazoneOseni› Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi› CanagliflozinInvokana› Canagliflozin, MetforminInvokamet› Canagliflozin, Metformin HydrochlorideInvokamet XR› ChlorpropamideChlorpropam, Diabinese› DapagliflozinFarxiga› Dapagliflozin Propanediol, MetforminXigduo XR› Dapagliflozin Propanediol, Saxagliptin HydrochlorideQtern› Dapagliflozin, Metformin Hydrochloride, Saxagliptin HydrochlorideQternmet XR› Dasiglucagon HydrochlorideZegalogue› DulaglutideTrulicity› EmpagliflozinJardiance› Empagliflozin, Linagliptin, Metformin HydrochlorideTrijardy XR› Empagliflozin, MetforminSynjardy› Empagliflozin, Metformin HydrochlorideSynjardy XR› ErtugliflozinSteglatro› Ertugliflozin, Metformin HydrochlorideSegluromet› ExenatideBydureon, Byetta› Exenatide SyntheticBydureon BCISE› GliclazideDiamicron› GlimepirideAmaryl› GlipizideGlucotrol, Glucotrol XL› Glipizide, MetforminMetaglip› GlucagonBaqsimi, Glucagon›
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 Maqui 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 Maqui affects

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

All 1 drug category Maqui interacts with
Antidiabetes Drugs
Antidiabetes Drugs

Theoretically, maqui fruit extract may increase the risk of hypoglycemia when used with antidiabetes drugs.
Animal research shows that maqui berry reduces fasting blood glucose. However, maqui berry extract taken orally, either as a single dose or daily for 3 months, does not decrease fasting blood glucose in prediabetic patients. It is unknown whether it might reduce blood glucose levels in patients with diabetes.

Likelihood Possible Evidence B
Monograph

Maqui: Uses, Safety & Side Effects

The bottom line

Maqui is a dark purple berry from Chile that is very rich in antioxidant plant pigments called anthocyanins. Early research suggests it may help with things like blood sugar, dry eye, and inflammation, but the human evidence is still limited and far from proven. It is generally well tolerated as a food, but talk with your pharmacist or doctor before using concentrated supplements.

Scientific name
Aristotelia chilensis
Family
Elaeocarpaceae
Part used
Berries (fruit); leaves are used traditionally
Common forms
Capsules, powder, juice, extracts, dried berries
People commonly use it for
  • Antioxidant support
  • Blood sugar support
  • Eye health and dry eye
  • Anti-inflammatory support
  • Heart health

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, but supplement safety has not been well studied.

PregnancyInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full pregnancy detail
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

Maqui is a small, dark purple-black berry that grows on a shrub or small tree native to the temperate rainforests of southern Chile and parts of Argentina. The plant has long been used by the Mapuche people of the region as a food and a traditional remedy.

The berry is one of the richest known natural sources of anthocyanins, the same family of deep-colored antioxidant pigments found in blueberries and blackberries. Because of this, maqui is often marketed as a "superfruit." Today it is sold as juice, dried berries, powders, and capsules or extracts standardized for anthocyanin content.

How it works

Maqui's effects are mostly attributed to its very high content of anthocyanins, especially a type called delphinidin. These compounds act as antioxidants, meaning they may help neutralize unstable molecules called free radicals that can damage cells.

In laboratory and animal studies, maqui compounds have shown anti-inflammatory activity and effects on how the body handles sugar and fats. Some research suggests it may help support tear gland function, which is the basis for its use in dry eye.

It is important to know that most of these mechanisms come from test-tube and animal research. What happens in a lab does not always translate to real benefits in people.

Effectiveness

Does Maqui work?

Evidence overview · 3 uses evaluated
3 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 Maqui, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 3 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Dry eye
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral maqui berry extract is beneficial for dry eye.

Insufficient Reliable Evidence To Rate Impaired glucose tolerance (Prediabetes)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral maqui berry is beneficial for improving glycemic control in adults with prediabetes.

Insufficient Reliable Evidence To Rate Psychological well-being
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral maqui berry is beneficial for improving psychological well-being.

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

Maqui berry has a long history of use as a food and is generally considered safe when eaten in normal food amounts. Concentrated supplements and extracts, however, have not been studied as thoroughly for long-term safety.

People with diabetes or low blood sugar should be cautious, since maqui may affect blood sugar levels. Monitor closely and let your healthcare provider know if you use it. As with any supplement, product quality can vary, so choose reputable brands.

Because there is not enough safety information, women who are pregnant or breastfeeding should avoid maqui supplements and stick to ordinary food amounts at most, after checking with their doctor.

Side effects

Maqui is usually well tolerated. When side effects occur, they are typically mild and may include stomach upset or digestive discomfort.

As with any plant product, allergic reactions are possible. Stop using it and seek medical care if you develop a rash, itching, swelling, or trouble breathing. Because supplement amounts have not been widely studied, report any unusual symptoms to your pharmacist or doctor.

Dosing

There is no official or well-established dose for maqui. Doses used in research have varied widely depending on whether the product was a juice, powder, or standardized extract, so it is hard to recommend a single amount.

The best approach is to follow the directions on the product label and not exceed them. Because products differ in strength and anthocyanin content, ask your pharmacist for help choosing a quality product and a reasonable dose for your situation.

Pregnancy & Breastfeeding

Maqui & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using.

Maqui & 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 Maqui 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. Alvarado JL, Leschot A, Olivera-Nappa Á, et al. Delphinidin-rich maqui berry extract (Delphinol®) lowers fasting and postprandial glycemia and insulinemia in prediabetic individuals during oral glucose tolerance tests. Biomed Res Int. 2016;2016:9070537. PubMed
  2. Alvarado J, Schoenlau F, Leschot A, Salgad AM, Vigil Portales P. Delphinol® standardized maqui berry extract significantly lowers blood glucose and improves blood lipid profile in prediabetic individuals in three-month clinical trial. Panminerva Med. 2016
  3. Hidalgo J, Flores C, Hidalgo MA, et al. Delphinol® standardized maqui berry extract reduces postprandial blood glucose increase in individuals with impaired glucose regulation by novel mechanism of sodium glucose cotransporter inhibition. Panminerva Med.
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

Brand directory

Brands that make products with Maqui

174 brands in our database make a supplement containing Maqui.

Product directory

Supplement products with Maqui

440 products in our database contain Maqui. Open any to see its full ingredient list and every drug interaction we check.

Liquid Glucosamine Chondroitin Melon Berry Pomegranate by Brain Forza Liquid 32 Fluid Ounce(s) · 946 mL View ingredients & interactions Liquid Glucosamine Chondroitin Natural Berry Pomegranate by Brain Forza Liquid 32 Fluid Ounce(s) · 946 mL View ingredients & interactions Maqui by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Maqui Alcohol Free by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Maqui Alcohol Free by Herbal Terra Liquid 2 Fluid Ounce(s) · 60 mL View ingredients & interactions Maqui Berry by Official HCG Diet Plan Capsule 60 Capsule(s) View ingredients & interactions Maqui Berry by Paradise Capsule 60 Vegetarian Capsule(s) View ingredients & interactions Maqui Berry by Paradise Capsule 60 Vegetarian Capsule(s) View ingredients & interactions Maqui Berry 450 mg by TerraVita Premium Collection Capsule 100 Capsule(s) View ingredients & interactions Maqui Berry 500 mg by BIOVEA Capsule 60 Vegetarian Capsule(s) View ingredients & interactions Maqui Berry 500 mg by Vivid Health Nutrition Capsule 30 Capsule(s) View ingredients & interactions Maqui Berry 900 mg by Oomph Naturals Capsule 90 Capsule(s) View ingredients & interactions Maqui Berry Powder by CurEase Powder 120 g · 240 Serving(s) View ingredients & interactions Maqui Berry Powder by TerraVita Premium Collection Powder 1 Ounce(s) View ingredients & interactions Maqui Berry Powder by TerraVita Premium Collection Powder 4 Ounce(s) View ingredients & interactions Maqui Maxx Plus Burn by EFL Nutritionals Capsule 60 Capsule(s) View ingredients & interactions Maqui SuperFruit Antioxidant Juice by NOW Liquid 32 fl. Oz. · 946 mL View ingredients & interactions Maqui-Max by California Academy of Health Liquid 32 Fluid Ounce(s) · 946 mL · 908 Gram(s) View ingredients & interactions MaquiBerry 1,000 mg by Natrol Capsule 60 Vegetarian Capsule(s) View ingredients & interactions MaquiBright 60 mg by Swanson Ultra Capsule 30 Veggie Capsule(s) View ingredients & interactions Max Multi Men's by MM Sports Nutrition Capsule 60 Capsule(s) View ingredients & interactions Max Multi Women's by MM Sports Nutrition Capsule 60 Capsule(s) View ingredients & interactions MaxHealth by Taylor MD Formulations Capsule 60 Liquid Capsule(s) View ingredients & interactions Mdrive Brain Chocolate Berry by DreamBrands Powder 10.6 Oz(s) · 300 Gram(s) View ingredients & interactions
Pharmacist Counseling Corner

Maqui: Common Questions

What is Maqui used for, and does it work?
People use Maqui 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 Maqui interact with prescription medications?
Yes. We list 86 medications with a known interaction with Maqui. Use the checker above to see how Maqui interacts with a specific drug.
How are Maqui 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 Maqui 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 Maqui 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 Maqui used for?
People use Maqui mainly as an antioxidant-rich superfruit and for support with blood sugar, dry eye, inflammation, and heart health. Most of these uses are based on early research and are not firmly proven.
Is Maqui safe to take?
As a food, Maqui berry is generally considered safe and well tolerated. Concentrated supplements have not been studied as much, so use a reputable product and check with your pharmacist, especially if you have a health condition.
Can I take Maqui if I'm pregnant or breastfeeding?
There is not enough safety information, so it is best to avoid Maqui supplements while pregnant or breastfeeding. Ordinary food amounts should be discussed with your doctor first.
How is Maqui different from blueberries?
Both are deep-colored berries rich in antioxidant anthocyanins, but Maqui tends to contain even higher levels, especially a pigment called delphinidin. That higher antioxidant content is why it is marketed as a superfruit.

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

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