Herb & supplement monograph

Plum Drug Interactions, Uses, Effectiveness, Safety & More

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Reviewed by licensed pharmacists Sourced from Natural Medicines

Plum 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 Plum drug interaction appears low for most people, with the main concern limited to medicines that affect blood clotting. No interactions are rated major, and the sizable medication list traces back to a single moderate concern about plum's possible effect on blood clotting.

Interactions deserving the most attention

The interaction that deserves attention involves anticoagulant and antiplatelet drugs, often called blood thinners. In one small study, healthy volunteers who drank plum juice daily for about a month showed slower clotting and reduced platelet activity. Because bleeding risk is watched closely with these medicines, even a modest added effect could matter, though the evidence is still limited and the interaction is graded only as possible.

What the rest of the list means

The long list of interacting medications may look alarming, but it reflects one shared concern applied across many blood-thinning drugs, not many separate problems. The clotting effect was seen in healthy volunteers, and it has not been shown to cause meaningful harm in people actually taking these medicines. Outside of blood thinners, plum has no documented interaction concerns in this profile.

Check your medications against Plum

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

Interaction report

Drugs that interact with Plum

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

2,830 drugs
AbciximabReoPro› AbrocitinibCibinqo› AcenocoumarolSintrom› Acetaminophen, AspirinGemnisyn› Acetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine› Acetaminophen, IbuprofenCombogesic› Acetylsalicylic AcidEntrophen› Alteplase, TpaActilyse, Activase› Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2› Aluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin› Anacaulase-bcdbNexoBrid› AnagrelideAgrylin› AnisindioneMiradon› Antithrombin IiiThrombate III› ApixabanEliquis› ArgatrobanArgatroban› AspirinAngettes 75, ASA, Asaphen, Aspirin, Caprin, Cartia +8 more› Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3› Aspirin, ButalbitalAxotal› Aspirin, Butalbital, CaffeineFiorinal› Aspirin, Butalbital, Caffeine, Codeine PhosphateFiorinal w/ Codeine› Aspirin, Butalbital, Caffeine, PhenacetinMarnal› Aspirin, CaffeineAnacin› Aspirin, Caffeine, Codeine PhosphateAnacin w/ Codeine› Aspirin, Caffeine, Dihydrocodeine BitartrateSynalgos DC› Aspirin, Caffeine, Dover's PwdAcedoval, Dovacet› Aspirin, Caffeine, HydrocodoneDamason-P› Aspirin, Caffeine, Isobutylallylbarbituric Acid, PhenacetinLanorinal› Aspirin, Caffeine, OrphenadrineInvagesic, Invagesic Forte, Norgesic, Norgesic Forte, Orphengesic, Orphengesic Forte› Aspirin, Caffeine, Phenacetin, PropoxypheneMargesic Comp. 65›
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 Plum 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 Plum affects

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

All 1 drug category Plum interacts with
Anticoagulant/antiplatelet Drugs
Anticoagulant/Antiplatelet Drugs

Theoretically, plum juice might have antiplatelet effects.
Consuming plum juice while taking anticoagulant or antiplatelet drugs might increase the risk of bruising and bleeding. In healthy volunteers, drinking plum juice 200 mL daily for 28 days prolonged clotting time and inhibited platelet aggregation.

Likelihood Possible Evidence B
Monograph

Plum: Uses, Safety & Side Effects

The bottom line

Plums and their dried form (prunes) are common, nutritious foods that are best known for helping relieve constipation thanks to their fiber and sorbitol content. They are generally safe as food, but eating large amounts can cause gas, bloating, or loose stools. Talk to your pharmacist or doctor before using concentrated supplements, especially if you have a medical condition.

Scientific name
Prunus domestica
Family
Rosaceae
Part used
Fruit (fresh and dried, also called prunes); juice
Common forms
Fresh fruit, dried plums (prunes), juice, powder, capsules
People commonly use it for
  • Constipation
  • Digestive health
  • Bone health support
  • Antioxidant source
  • General nutrition

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

Safety at a glance
OverallLikely safe

Plums and prunes are widely eaten as food and are generally safe in normal amounts.

PregnancyInsufficient reliable information

Insufficient reliable information available; avoid using amounts greater than those found in food.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient reliable information available; avoid using amounts greater than those found in food.

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

Plum is the fruit of trees in the genus Prunus, most commonly Prunus domestica. Plum trees grow in many temperate parts of the world, including Europe, Asia, and North America. The fruit can be eaten fresh or dried, and dried plums are usually called prunes.

People enjoy plums as a regular food, but they are also used for their possible health benefits. Dried plums and plum juice are especially popular as a natural way to support regular bowel movements. Plums are also marketed in juice, powder, and capsule forms as a source of fiber and antioxidants.

How it works

Plums contain fiber, including soluble fiber, and a natural sugar alcohol called sorbitol. Both of these draw water into the gut and can have a gentle laxative effect, which helps explain why prunes are used for constipation.

Plums also contain polyphenols and other antioxidant compounds, plus vitamins and minerals such as potassium and vitamin K. In laboratory and animal studies, these compounds show antioxidant activity, and some researchers think they may play a role in possible bone benefits. It is important to know that much of this is early research, and effects seen in a lab or in animals do not always carry over to people.

Effectiveness

Does Plum work?

Evidence overview · 7 uses evaluated
1 Possibly effective 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.
Possibly Effective Constipation
Rating & evidence shown verbatim from Natural Medicines

Consuming whole dried plums (prunes), plum juice, or plum puree seems to improve symptoms of constipation at least as effectively as psyllium.

Also studied for 6 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Dyslipidemia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral dried plums (prunes) are beneficial in the treatment of dyslipidemia.

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

Although there has been interest in using oral plum for hepatitis, there is insufficient reliable information about the clinical effects of plum for this purpose.

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

It is unclear if oral plum is beneficial for hypertension.

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

It is unclear if oral plum is beneficial for overweight or obesity.

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

Some preliminary clinical research shows that oral dried plums (prunes) are beneficial for preventing loss of bone mineral density (BMD) in postmenopausal adults. It is unclear if prunes can increase BMD or if they are beneficial for preventing loss of BMD in other populations.

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

It is unclear if oral dried plums (prunes) are beneficial for improving gastrointestinal function after surgery.

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

Plums and prunes are eaten safely by most people as part of a normal diet. The main thing to watch is that eating a lot at once can cause gas, bloating, cramping, or diarrhea because of the fiber and sorbitol.

People with conditions that are sensitive to high-fiber or high-sorbitol foods—such as irritable bowel syndrome—may notice more digestive symptoms. Those with kidney problems should be aware that plums and prunes contain potassium and may also contain oxalate, so talk to your doctor if you have been told to limit these.

For pregnancy and breastfeeding, eating plums as a normal food is generally considered fine. However, concentrated supplements, powders, or high-dose extracts have not been well studied in these situations, so it is safest to avoid them unless your doctor or pharmacist approves. When in doubt, choose the whole fruit in normal amounts.

Side effects

The most common side effects come from eating too much at once and include gas, bloating, stomach cramps, and loose stools or diarrhea. Starting with a small amount and increasing slowly can help reduce these effects.

Allergic reactions to plums are uncommon but possible, especially in people allergic to other stone fruits. Stop using and seek medical care if you notice itching, swelling, hives, or trouble breathing. The pits (stones) should never be eaten or crushed for consumption.

Plum: Reported Adverse Effects

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

Orally, plum seems to be well tolerated.

Most Common Adverse Effects:

Orally: Gastrointestinal effects, including flatulence and diarrhea.

Serious Adverse Effects (Rare):

Orally: Allergic reactions. Consumption of dried plums or plum pits has been reported to cause bowel obstruction and esophageal perforation.

Reports by condition
Diarrhea Gastrointestinal

Orally, plum has been reported to cause gastrointestinal issues, including flatulence and diarrhea.

In one case report, small bowel obstruction with impaction in the terminal ileum occurred in a 10-month old infant who consumed a dried plum. This was likely due to the infant being unable to properly chew the plum.

Consumption of plum pits has also caused serious gastrointestinal adverse effects. Ileal obstruction occurred in a 71-year-old female who swallowed a plum pit. In a young male, ileostomy obstruction due to plum pits has occurred. Swallowing a plum pit has also caused an esophageal perforation in a 75-year-old male.

  1. Lever E, Cole J, Scott SM, Emery PW, Whelan K. Systematic review: the effect of prunes on gastrointestinal function. Aliment Pharmacol Ther. 2014;40(7):750-8.
  2. Hooshmand S, Chai SC, Saadat RL, et al. Comparative effects of dried plum and dried apple on bone in postmenopausal women. Br J Nutr. 2011;106(6):923-30.
  3. Ibrahim N, Chauhan I, Nikkar-Esfahani A. 'A problematic plum pit in the piping': a case of traumatic oesophageal perforation. BMJ Case Rep. 2016;2016. pii: bcr2015213807.
  4. Piirainen L, Peuhkuri K, Bäckström K, Korpela R, Salminen S. Prune juice has a mild laxative effect in adults with certain gastrointestinal symptoms. Nutr. Res. 2007;27(8):511-3.
  5. Arjmandi BH, Khalil DA, Lucas EA, et al. Dried plums improve indices of bone formation in postmenopausal women. J Womens Health Gend Based Med. 2002;11(1):61-8.
  6. Kong MS, Wang KL. A prune-induced small intestinal obstruction: sonographic appearance. J Clin Ultrasound. 1995;23(9):558-60.
  7. Johnson MC, Fisher JK. Plum pit ileus: a case report. Mo Med. 1991;88(10):696-8.
  8. Jain M, Pielage P, De-Ryke R. Plum stones: an unusual cause of ileostomy obstruction demonstrated by sonography. J Clin Ultrasound. 1998;26(8):416-7.
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 plum. As a food, people often eat a small serving of dried plums or drink a small glass of plum juice to help with constipation, then adjust based on how their body responds.

For supplements, powders, or capsules, follow the directions on the product label, since strength varies between products. If you are using plum for a specific health concern, or you have a medical condition, check with your pharmacist or doctor to make sure it is right for you and to find a sensible amount.

Pregnancy & Breastfeeding

Plum & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using amounts greater than those found in food.

Plum & Breastfeeding

Insufficient reliable information

Insufficient reliable information available; avoid using amounts greater than those found in food.

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 Plum 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. Lever E, Cole J, Scott SM, Emery PW, Whelan K. Systematic review: the effect of prunes on gastrointestinal function. Aliment Pharmacol Ther. 2014;40(7):750-8. PubMed
  2. Hooshmand S, Chai SC, Saadat RL, et al. Comparative effects of dried plum and dried apple on bone in postmenopausal women. Br J Nutr. 2011;106(6):923-30. PubMed
  3. Ibrahim N, Chauhan I, Nikkar-Esfahani A. 'A problematic plum pit in the piping': a case of traumatic oesophageal perforation. BMJ Case Rep. 2016;2016. pii: bcr2015213807. PubMed
  4. Piirainen L, Peuhkuri K, Bäckström K, Korpela R, Salminen S. Prune juice has a mild laxative effect in adults with certain gastrointestinal symptoms. Nutr. Res. 2007;27(8):511-3. DOI
  5. Kong MS, Wang KL. A prune-induced small intestinal obstruction: sonographic appearance. J Clin Ultrasound. 1995;23(9):558-60. PubMed
  6. Jain M, Pielage P, De-Ryke R. Plum stones: an unusual cause of ileostomy obstruction demonstrated by sonography. J Clin Ultrasound. 1998;26(8):416-7. DOI
  7. Arjmandi BH, Khalil DA, Lucas EA, et al. Dried plums improve indices of bone formation in postmenopausal women. J Womens Health Gend Based Med. 2002;11(1):61-8. PubMed
  8. Santhakumar AB, Kundur AR, Fanning K, Netzel M, Stanley R, Singh I. Consumption of anthocyanin-rich Queen Garnet plum juice reduces platelet activation related thrombogenesis in healthy volunteers. J. Functional Foods. 2015;12:11-22. DOI
  9. Santhakumar AB, Kundur AR, Sabapathy S, Stanley R, Singh I. The potential of anthocyanin-rich Queen Garnet plum juice supplementation in alleviating thrombotic risk under induced oxidative stress conditions. J. Functional Foods. 2015;14:747-57. DOI
  10. Johnson MC, Fisher JK. Plum pit ileus: a case report. Mo Med. 1991;88(10):696-8.
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

Product directory

Supplement products with Plum

1,784 products in our database contain Plum. Open any to see its full ingredient list and every drug interaction we check.

Alive! Hair, Skin & Nails Gummies Strawberry Flavored by Nature's Way Gummy Or Jelly 60 Gummy(ies) View ingredients & interactions Alive! Hair, Skin & Nails Gummies Strawberry Flavored by Nature's Way Gummy Or Jelly 60 Gummy(ies) View ingredients & interactions Alive! Hair, Skin & Nails Multivitamin Strawberry Flavored by Nature's Way Softgel Capsule 60 Softgel(s) View ingredients & interactions Alive! Hair, Skin & Nails Strawberry Flavored by Nature's Way Gummy Or Jelly 60 Gummy(ies) View ingredients & interactions Alive! Hair, Skin & Nails Strawberry Flavored by Nature's Way Softgel Capsule 60 Softgel(s) View ingredients & interactions Alive! Immune with Elderberry by Nature's Way Gummy Or Jelly 90 Gummy(ies) View ingredients & interactions Alive! Immune with Elderberry by Nature's Way Gummy Or Jelly 90 Gummy(ies) View ingredients & interactions Alive! Immune with Elderberry Delicious Grape & Cherry Flavored Gummies by Nature's Way Gummy Or Jelly 60 Gummy(ies) View ingredients & interactions Alive! Kids Chewable Multivitamin Orange & Berry by Nature's Way Tablet Or Pill 120 Chewable Tablet(s) View ingredients & interactions Alive! Kids Chewable Multivitamin Orange & Berry Fruit Flavored by Nature's Way Tablet Or Pill 120 Chewable Tablet(s) View ingredients & interactions Alive! Kids Chewable Multivitamin Orange & Berry Fruit Flavored by Nature's Way Tablet Or Pill 120 Chewable Tablet(s) View ingredients & interactions Alive! Kids Gummy Multivitamin by Nature's Way Gummy Or Jelly 60 Gummy(ies) View ingredients & interactions Alive! Kids Multivitamin Gummy by Nature's Way Gummy Or Jelly 60 Gummy(ies) View ingredients & interactions Alive! Kids Premium Gummy Multivitamin by Nature's Way Gummy Or Jelly 90 Gummy(ies) View ingredients & interactions Alive! Kids Premium Multivitamin Gummy by Nature's Way Gummy Or Jelly 90 Gummy(ies) View ingredients & interactions Alive! Kids Zero Sugar Multivitamin Gummy Berry-Citrus by Nature's Way Gummy Or Jelly 40 Gummy(ies) View ingredients & interactions Alive! Liquid Fiber With Prebiotics Pomegranate-Berry Flavor by Nature's Way Liquid 32 fl. Oz. · 960 mL View ingredients & interactions Alive! Liquid Fiber With Prebiotics Pomegrante-Berry Flavored by Nature's Way Liquid 16 fl. Oz. · 480 mL View ingredients & interactions Alive! Liquid Fiber with Prebiotics Tropical Citrus Flavored by Nature's Way Liquid 16 fl. Oz. · 1 Pint(s) · 480 mL View ingredients & interactions Alive! Liquid Fiber With Probiotics Citrus Flavor by Nature's Way Liquid 32 fl. Oz. · 960 mL View ingredients & interactions Alive! Max 3 Daily Potency Multivitamin by Nature's Way Tablet Or Pill 30 Tablet(s) View ingredients & interactions Alive! Max 3 Potency Adult Complete Multivitamin with Iron by Nature's Way Tablet Or Pill 90 Tablet(s) View ingredients & interactions Alive! Max 3 Potency Multivitamin by Nature's Way Tablet Or Pill 30 Tablet(s) View ingredients & interactions Alive! Max 3 Potency Multivitamin by Nature's Way Tablet Or Pill 90 Tablet(s) View ingredients & interactions
Pharmacist Counseling Corner

Plum: Common Questions

What is Plum used for, and does it work?
People use Plum for many reasons, but the evidence varies by use. According to the Natural Medicines database, there is at least some clinical evidence supporting Plum for Constipation. 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 Plum interact with prescription medications?
Yes. We list 122 medications with a known interaction with Plum. Use the checker above to see how Plum interacts with a specific drug.
How are Plum 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 Plum 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 Plum 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 the difference between a Plum and a prune?
A prune is simply a dried Plum. Drying concentrates the fiber and natural sugars, which is part of why prunes are commonly used to help with constipation.
Are Plums good for constipation?
Yes—dried Plums (prunes) and Plum juice are a popular and reasonably well-supported way to relieve mild constipation, thanks to their fiber and sorbitol content. Start with a small amount to avoid gas and bloating.
Can I eat Plums every day?
For most people, enjoying Plums as part of a balanced diet is fine. Eating very large amounts may cause bloating or loose stools, so moderation is best.
Are Plums safe during pregnancy?
Eating Plums as a normal food is generally considered fine in pregnancy, but concentrated supplements or extracts have not been well studied, so check with your doctor or pharmacist before using them.

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

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