Brain Fuel Grape Flavored Ingredients & Drug Interactions
by Nature's Way
What is this page for?
First and foremost: checking Brain Fuel Grape Flavored against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Brain Fuel Grape Flavored is a dietary supplement by Nature's Way with 4 active ingredients. Its ingredients are commonly taken for morning sickness in pregnancy, premenstrual syndrome (pms), preventing or treating b6 deficiency.Based on those ingredients, 1,084 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Cognigrape, Vitamin B6, Sodium. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Brain Fuel Grape Flavored by Nature's Way
Ask about any prescription or over-the-counter medication and we check it for interactions with Brain Fuel Grape Flavored by Nature's Way — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Brain Fuel Grape Flavored by Nature's Way
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
Brain Fuel Grape Flavored contains four active ingredients. Vitamin B6 supports nerve function and metabolism; vitamin B12 is essential for red blood cells and nerve health; sodium is an electrolyte your body needs in small amounts; and Cognigrape is a grape extract used for blood vessel and circulation support.
The product also contains inactive ingredients — glucose syrup, cane sugar, water, pectin, citric acid, natural flavors, sodium citrate, coconut oil, sunflower lecithin, and beeswax — that give the gummy its texture, taste, and form.
Does it work?
Not established
The evidence for this product's claims isn't on file in our data. Vitamin B6 is effective for treating B6 deficiency and sideroblastic anemia, and possibly effective for pregnancy-related nausea, but we hold no effectiveness ratings for a "brain fuel" claim specifically.
Cognigrape (grape extract) is possibly effective for chronic venous insufficiency (poor circulation in the legs), but possibly ineffective for chemotherapy nausea, hay fever, or weight loss. Vitamin B12 is effective for B12 deficiency but we don't have data on whether it supports brain health.
If you're looking for a product to boost cognition or memory, talk with your pharmacist about what the research actually supports.
How safe is it?
Well-documented data
Vitamin B6 is well tolerated at doses below 100 mg daily, but high doses over weeks or months can damage nerves (a condition called sensory neuropathy). Vitamin B12 is considered very safe — excess is cleared by the kidneys, and there's no established upper limit.
Sodium is necessary in small amounts, but excess is linked to high blood pressure and can strain the heart and kidneys; avoid sodium supplements or very high intake without medical guidance. Cognigrape (grape extract) appears generally well tolerated; common side effects in studies were mild, including headache, nausea, diarrhea, and joint pain.
Rare allergic reactions to grape skin have been reported. Because this is a gummy with added sugars, it's not ideal for people managing blood sugar or dental health.
Meds to double-check
Moderate interaction found
Before taking this product, check with your pharmacist if you're on seizure drugs (phenytoin, phenobarbital), blood pressure medications, lithium, corticosteroids, cyclosporine, midazolam, blood thinners (anticoagulants) or antiplatelet drugs, didanosine, tolvaptan, metformin, or any medication processed by your liver. Worst concerns are reduced seizure-drug levels and unpredictable lithium toxicity.
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
If you take seizure medications, blood pressure drugs, lithium, cyclosporine, or any heart or blood-thinning medication, have your pharmacist check this product against your exact medication list before you start — the interactions are real. The gummy itself is generally well tolerated, but the sugar content and sodium level matter if you're watching your intake.
Talk to your pharmacist about whether this product's ingredients actually address what you're hoping to treat.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 4 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Mar 25, 2025.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Brain Fuel Grape Flavored, straight from the product label.
| Brand | Nature's Way |
|---|---|
| Barcode (UPC) | 033674143469 |
| Net contents | 60 Gummy(ies) |
| Market status | On market |
| Date entered into DSLD | Mar 25, 2025 |
| DSLD ID | 328128 |
| Product type | Botanical With Nutrients |
| Supplement form | Gummy Or Jelly |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Vegetarian, Adult (18 - 50 Years), Gluten Free, Dairy Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Brain Fuel Grape Flavored by Nature's Way, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 25 Calorie(s) | -- |
| Total Carbohydrates | 6 Gram(s) | 2% |
| Vitamin B6 | 1.7 mg | 100% |
| Sodium | 15 mg | -- |
| Vitamin B12 | 2.4 mcg | 100% |
| Added Sugars | 4 Gram(s) | 8% |
| Total Sugars | 4 Gram(s) | -- |
| Cognigrape | 250 mg | -- |
Other ingredients: Glucose Syrup, Cane Sugar, Water, Purified, Pectin, Citric Acid, Natural Flavors, Sodium Citrate, Coconut Oil, Sunflower Lecithin, Beeswax
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formulation
Nourish the brain
Brain Fuel is formulated to help you take on your tasks by supporting short-term memory and concentration.
Gluten free. No yeast-derived ingredients, wheat, soy, gelatin, dairy, egg, or peanut.
Vegetarian V Gelatin free
Vegetarian V Gelatin free
Supports memory & concentration
General Statements
Your to-do list just met its match.
Explore more products at naturesway.com
Questions? 1-800-962-8873 / naturesway.com Bottle made from 50% post-consumer recycled plastic Gummy not actual size
Formula
COGNIGRAPE grape extract is clinically studied to support mental performance. Essential vitamins B6 and B12 support brain function.
With plant-based pectin Clinically studied COGNIGRAPE
Precautions
Keep out of reach of children.
Do not use if safety seal under child-resistant cap is broken or missing.
Do not exceed recommended dose.
If you are pregnant, nursing, or taking any medications, consult a healthcare professional before use.
Storage
Keep tightly closed. Store at room temperature. Avoid excessive heat and direct sunlight.
Brand IP Statement(s)
COGNIGRAPE is a registered trademark of BIONAP S.r.l. Copyright 2023 Nature's Way Brands, LLC
Seals/Symbols
Vegetarian V Gelatin free
FDA Disclaimer Statement
These statements have not been evaluated by the Food & Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Recommendation: Adults chew 2 gummies daily.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Brain Fuel Grape Flavored by Nature's Way label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Brain Fuel Grape Flavored by Nature's Way
These are the 4 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Gummy(ies) Dosage formGummy Or Jelly Servings per container30 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Vitamin B6
Interacts with210 drugs
Vitamin B6 (pyridoxine) is an essential water-soluble vitamin that your body needs for metabolism, brain function, and making red blood cells. It is b...
Vitamin B6 monograph & interactionsSodium
Interacts with205 drugs
Sodium is an essential mineral and electrolyte your body needs to balance fluids, support nerves, and help muscles work. Most people in modern diets g...
Sodium monograph & interactionsVitamin B12
Interacts with20 drugs
Vitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very h...
Vitamin B12 monograph & interactionsCognigrape
Interacts with910 drugs
Grapes and grape products like grape seed extract contain antioxidant compounds such as resveratrol and proanthocyanidins that may support heart and b...
Cognigrape monograph & interactionsOther (inactive) ingredients: Glucose Syrup, Cane Sugar, Water, Purified, Pectin, Citric Acid, Natural Flavors, Sodium Citrate, Coconut Oil, Sunflower Lecithin, Beeswax. These complete the product’s ingredient list but are not active constituents.
Brain Fuel Grape Flavored by Nature's Way Drug Interactions
HelloPharmacist Interaction Report
Brain Fuel Grape Flavored by Nature's Way contains four active ingredients, three of which have documented interactions with medications.
Vitamin B6 is the source of the most serious concern: it may reduce blood levels of seizure medications like phenytoin (Dilantin) and phenobarbital (Luminal) at high doses, potentially lowering their effectiveness. It can also theoretically increase blood-pressure-lowering effects with antihypertensive drugs, and may worsen the sun sensitivity caused by the heart rhythm drug amiodarone.
Read the full breakdown — every affected drug type, severity by severity
Sodium in this product interacts with several drug classes. It may reduce the effectiveness of blood pressure medications (antihypertensives) if intake is very high, and can dangerously increase sodium levels in the blood when used with corticosteroids, the HIV drug didanosine (Videx), the mood stabilizer lithium, or the diuretic tolvaptan (Samsca).
Changes in sodium intake can also shift lithium levels unpredictably, risking toxicity.
Cognigrape (grape extract) affects how your liver processes a number of medications through several enzyme pathways. It may increase blood levels of some drugs metabolized by the CYP2D6 and CYP2E1 enzymes, reduce levels of drugs processed by CYP1A2, or have unclear effects on CYP3A4 substrates.
Additionally, grape extracts may increase bleeding risk if combined with blood thinners (anticoagulants) or antiplatelet drugs, and can reduce absorption of the immunosuppressant cyclosporine (Neoral, Sandimmune).
Vitamin B12 has minimal documented interactions; a minor concern exists with metformin (Glucophage), which may lower B12 levels over time. Altogether, these interactions span 1,072 individual medications.
Check your exact medications with the tool on this page before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Brain Fuel Grape Flavored?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Brain Fuel Grape Flavored interact with 1,084 drugs. Click any drug to see the details.
4 of the 4 ingredients in Brain Fuel Grape Flavored interact with drugs. Each result below shows which ingredient is responsible. Cognigrape Vitamin B6 Sodium Vitamin B12
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Cognigrape + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, grape extracts may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cognigrape + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Cognigrape + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Cognigrape + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Cognigrape + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 2c9 (cyp2c9) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Cognigrape + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Cognigrape + Acalabrutinib interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Brain Fuel Grape Flavored — through 2 ingredients. Tap an ingredient for the detail:
Vitamin B6Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Read the full Vitamin B6 + Acebutolol interactionSodiumAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
Read the full Sodium + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, grape extracts may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cognigrape + Acenocoumarol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, grape seed extract might increase the levels of CYP2E1 substrates.
Read the full Cognigrape + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs +1 Moderate
Interaction Summary
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
Read the full Cognigrape + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeAnticoagulant/antiplatelet Drugs, Cytochrome P450 2e1 (cyp2e1) Substrates +2 Moderate
Interaction Summary
Theoretically, grape extracts may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cognigrape + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
Read the full Cognigrape + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, grape seed extract might increase the levels of CYP2E1 substrates.
Read the full Cognigrape + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
Read the full Cognigrape + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +2 Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Cognigrape + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
Read the full Cognigrape + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, grape seed extract might increase the levels of CYP2E1 substrates.
Read the full Cognigrape + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Cognigrape + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Moderate
Interaction Summary
Theoretically, grape seed extract might increase the levels of CYP2E1 substrates.
Read the full Cognigrape + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +2 Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Cognigrape + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Theoretically, grape seed extract might increase the levels of CYP2E1 substrates.
Read the full Cognigrape + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
Read the full Cognigrape + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Cognigrape + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Theoretically, grape seed extract might increase the levels of CYP2E1 substrates.
Read the full Cognigrape + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Theoretically, grape seed extract might increase the levels of CYP2E1 substrates.
Read the full Cognigrape + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +2 Moderate
Interaction Summary
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
Read the full Cognigrape + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +2 Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Cognigrape + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Moderate
Interaction Summary
Theoretically, grape seed extract might increase the levels of CYP2E1 substrates.
Read the full Cognigrape + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Brain Fuel Grape Flavored — through 1 ingredient. Tap an ingredient for the detail:
CognigrapeCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Cognigrape + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Brain Fuel Grape Flavored with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Cognigrape
Anticoagulant/Antiplatelet Drugs
Theoretically, grape extracts may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In vitro evidence suggests that grape extracts might decrease platelet aggregation.
Cyclosporine (Neoral, Sandimmune)
Ingesting grape juice with cyclosporine can reduce cyclosporine absorption.
A small pharmacokinetic study in healthy young adults shows that intake of purple grape juice 200 mL along with cyclosporine can decrease the absorption of cyclosporine by up to 30% when compared with water. Separate doses of grape juice and cyclosporine by at least 2 hours to avoid this interaction.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
A small pharmacokinetic study in healthy adults shows that ingestion of 200 mL of grape juice decreases phenacetin plasma levels. This is thought to be due to induction of CYP1A2.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, grape seed extract may increase the levels of CYP2D6 substrates.
In vitro evidence suggests that grape seed extract might inhibit CYP2D6 enzymes. However, this interaction has not been reported in humans.
Cytochrome P450 2E1 (Cyp2E1) Substrates
Theoretically, grape seed extract might increase the levels of CYP2E1 substrates.
In vitro and animal research suggests that grape seed proanthocyanidin extract inhibits CYP2E1 enzymes. However, this interaction has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
In vitro evidence suggests that grape seed extract might inhibit CYP3A4 enzymes. However, evidence from animal research shows that grape seed extract may induce CYP3A4 in the liver. So far, these interactions have not been reported in humans.
Midazolam (Versed)
Theoretically, long-term intake of grape seed extract might decrease the effects of midazolam.
Animal research shows that subchronic ingestions of grape seed extract can increase the elimination of intravenous midazolam by increasing hepatic CYP3A4 activity. Single doses of grape seed extract do not appear to affect midazolam elimination.
Phenacetin
Grape juice might decrease phenacetin absorption.
A small pharmacokinetic study in healthy adults shows that ingestion of 200 mL of grape juice decreases phenacetin plasma levels. This is thought to be due to induction of cytochrome P450 1A2 (CYP1A2).
Cytochrome P450 2C9 (Cyp2C9) Substrates
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
In vitro evidence shows that grape seed extract or grape juice might inhibit CYP2C9 enzymes. However, a small pharmacokinetic study in healthy adults shows that drinking 8 ounces of grape juice once does not affect the clearance of flurbiprofen, a probe-drug for CYP2C9 metabolism. The effects of continued grape juice consumption are unclear.
Vitamin B6
Amiodarone (Cordarone)
Theoretically, vitamin B6 might increase the photosensitivity caused by amiodarone.
Despite initial case reports suggesting that pyridoxine may have a protective effect against amiodarone-induced photosensitivity, preliminary clinical research suggests that pyridoxine may actually exacerbate this adverse effect.
Antihypertensive Drugs
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Research in hypertensive rats shows that vitamin B6 can decrease systolic blood pressure. Similarly, clinical research in patients with hypertension shows that taking high doses of vitamin B6 may reduce systolic and diastolic blood pressure, possibly by reducing plasma levels of epinephrine and norepinephrine.
Phenobarbital (Luminal)
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Preliminary clinical evidence suggests that vitamin B6 200 mg daily can reduce plasma levels of phenobarbital, possibly by increasing metabolism. It is not known whether lower doses have any effect. Advise people taking phenobarbital to avoid high doses of vitamin B6.
Phenytoin (Dilantin)
High doses of vitamin B6 may reduce the levels and clinical effects of phenytoin.
Preliminary clinical evidence suggests that vitamin B6 200 mg daily can reduce plasma levels of phenytoin, possibly by increasing metabolism. It is not known whether lower doses have any effect. Advise people taking phenytoin to avoid high doses of vitamin B6.
Levodopa
Vitamin B6 may increase the metabolism of levodopa when taken alone, but not when taken in conjunction with carbidopa.
Vitamin B6 (pyridoxine) enhances the metabolism of levodopa, reducing its clinical effects. However, this interaction does not occur when carbidopa is used concurrently with levodopa (Sinemet). Therefore, it is not likely to be a problem in most people.
Sodium
Antihypertensive Drugs
Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
High intake of dietary sodium can increase systolic and diastolic blood pressure. Also, high intake of sodium may necessitate increased use of antihypertensive medications to achieve blood pressure control in some patients, such as those with chronic kidney disease.
Corticosteroids
Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Mineralocorticoids and some glucocorticoids (corticosteroids) cause sodium retention. This effect is dose-related and depends on mineralocorticoid potency. It is most common with hydrocortisone, cortisone, and fludrocortisone, followed by prednisone and prednisolone.
Didanosine (Videx)
Concomitant use of didanosine with additional sodium from dietary or supplemental sources may increase the risk of hypernatremia.
Didanosine formulations contain a significant amount of sodium.
Lithium
Altering dietary intake of sodium might alter the levels and clinical effects of lithium.
High sodium intake can reduce plasma concentrations of lithium by increasing lithium excretion. Reducing sodium intake can significantly increase plasma concentrations of lithium and cause lithium toxicity in patients being treated with lithium carbonate. Stabilizing sodium intake is shown to reduce the percentage of patients with lithium level fluctuations above 0.8 mEq/L. Patients taking lithium should avoid significant alterations in their dietary intake of sodium.
Sodium Phosphates
Theoretically, concomitant use of sodium phosphate with sodium supplements might increase the risk of hypernatremia.
Use of high doses (> 45 mL in 24 hours) of sodium phosphate, such as those used for bowel cleansing before surgery, can lead to serious electrolyte disturbances, including hypernatremia. The risk of hypernatremia is highest in the elderly and people with other risk factors for electrolyte disturbances.
Sodium-Containing Drugs
Concomitant use of sodium-containing drugs with additional sodium from dietary or supplemental sources may increase the risk of hypernatremia and long-term sodium-related complications.
The Chronic Disease Risk Reduction (CDRR) intake level of 2.3 grams of sodium daily indicates the intake at which it is believed that chronic disease risk increases for the apparently healthy population. Some medications contain high quantities of sodium. When used in conjunction with sodium supplements or high-sodium diets, the CDRR may be exceeded. Additionally, concomitant use may increase the risk for hypernatremia; this risk is highest in the elderly and people with other risk factors for electrolyte disturbances.
Tolvaptan (Samsca)
Theoretically, concomitant use of tolvaptan with sodium might increase the risk of hypernatremia.
Tolvaptan is a vasopressin receptor 2 antagonist that is used to increase sodium levels in patients with hyponatremia. Patients taking tolvaptan should use caution with the use of sodium salts such as sodium chloride.
Vitamin B12
Metformin (Glucophage)
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals. Prolonged use of metformin can interfere with the absorption of B12 in the digestive system, potentially leading to a deficiency in this essential vitamin.
Brand information
Manufacturer and brand details for Brain Fuel Grape Flavored, from the product label.
Nature's Way
See all Nature's Way products- Name
- Nature's Way Brands, LLC
- City
- Green Bay
- State
- WI
- ZipCode
- 54311
- Phone Number
- 1-800-962-8873
- Web Address
- naturesway.com
Brain Fuel Grape Flavored by Nature's Way: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Brain Fuel Grape Flavored’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Vitamin B6
Interacts with 210 drugsVitamin B6 (pyridoxine) is an essential water-soluble vitamin that your body needs for metabolism, brain function, and making red blood cells. It is best known for helping with pregnancy-rel...
Read the full Vitamin B6 monograph → Herb & supplement monographSodium
Interacts with 205 drugsSodium is an essential mineral and electrolyte your body needs to balance fluids, support nerves, and help muscles work. Most people in modern diets get more than enough—often too much—from...
Read the full Sodium monograph → Herb & supplement monographVitamin B12
Interacts with 20 drugsVitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very helpful for people who are deficient — su...
Read the full Vitamin B12 monograph → Herb & supplement monographGrape
Interacts with 910 drugsGrapes and grape products like grape seed extract contain antioxidant compounds such as resveratrol and proanthocyanidins that may support heart and blood vessel health. While the food is he...
Read the full Grape monograph →Sources & How We Checked
Brain Fuel Grape Flavored's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 134 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Vitamin B6 32 references
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Sodium 38 references
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Vitamin B12 30 references
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Grape 34 references
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