Cranberry 500 mg Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Cranberry 500 mg 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
Cranberry 500 mg is a dietary supplement by Spring Valley with 1 active ingredient. Its ingredients are commonly taken for urinary tract infection prevention, bladder health, antioxidant support.Based on those ingredients, 712 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Cranberry 12:1 extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Cranberry 500 mg by Spring Valley
Ask about any prescription or over-the-counter medication and we check it for interactions with Cranberry 500 mg by Spring Valley — 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 Cranberry 500 mg by Spring Valley
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
This product contains one active ingredient: cranberry 12:1 extract at 500 mg per tablet. The extract is a concentrated form, meaning it's been processed to remove water and bring out cranberry's active compounds.
The tablet also contains several inactive ingredients (fillers and binders) like microcrystalline cellulose, dicalcium phosphate, and magnesium stearate to hold the tablet together and help it dissolve.
Does it work?
Moderate evidence
Cranberry is possibly effective for urinary tract infections (UTIs) — meaning there's reasonable evidence it may help, though it's not a substitute for antibiotics if you have a diagnosed infection. For other uses listed on the label — age-related cognitive decline, benign prostatic hyperplasia, cancer, fatty liver disease, and chronic fatigue — the evidence is insufficient to rate whether it works.
If you're considering cranberry for something other than UTI support, talk with your doctor about whether the evidence supports it for your specific situation.
How safe is it?
Well-documented data
Cranberry is generally well tolerated when taken at normal food or supplement doses, though concentrated supplements haven't been studied extensively — check with your doctor before starting if you're unsure. The most common side effects are diarrhea and mild stomach upset.
In very large amounts (3 to 4 liters of juice daily, mainly a concern for young children), it can cause more significant digestive trouble. Skin redness and itching have been reported rarely.
Cranberry is likely safe in pregnancy and lactation, but because concentrated supplement doses aren't well studied, it's worth confirming with your provider before taking during pregnancy or breastfeeding.
Meds to double-check
Moderate interaction found
Check with your doctor or pharmacist before taking this if you use blood thinners like warfarin, cholesterol medications like atorvastatin, blood pressure drugs like nifedipine, or any other prescription medications processed by your liver. Cranberry may raise their levels and side effects.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This supplement may help support urinary tract health, but it's not a treatment for an active UTI — see your doctor for that. If you take blood thinners, statins, blood pressure medications, or other prescription drugs, check with your pharmacist or doctor before adding this because cranberry can raise levels of several common medications.
Generally well tolerated, but stomach upset is possible, and concentrated supplements warrant a quick conversation with your provider first.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Jun 16, 2022.
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 Cranberry 500 mg, straight from the product label.
| Brand | Spring Valley |
|---|---|
| Net contents | 30 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Jun 16, 2022 |
| DSLD ID | 271593 |
| Product type | Botanical |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten 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 Cranberry 500 mg by Spring Valley, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Total Carbohydrates | 1 Gram(s) | 1% |
| Cranberry 12:1 extract | 500 mg | -- |
Other ingredients: Dicalcium Phosphate, Cranberry extract, Microcrystalline Cellulose, Croscarmellose Sodium, Magnesium Hydroxide, Caramel color, Carmine color, Carnauba wax, Hydroxypropyl Methylcellulose, Magnesium Stearate, Polydextrose, Polyethylene Glycol, Silicon Dioxide, Stearic Acid
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
Standardized extract Urinary tract health
No gluten, artificial dyes or flavors, lactose
FDA Statement of Identity
Dietary Supplement
Formula
Cranberry 500 mg per tablet Cranberry extract helps support urinary tract health.
Suggested/Recommended/Usage/Directions
Suggested Use: Adults, take one tablet daily with food as a dietary supplement.
Precautions
Warning: Pregnant or nursing women, individuals taking medication(s) or persons who have a health condition should consult their doctor before using this product.
Keep out of reach of children.
For your protection, do not use if imprinted seal under cap is broken or missing.
Storage
Store at room temperature 59 degrees - 86 degrees F (15 degrees - 30 degrees C). Keep bottle tightly closed.
General Statements
Quality guaranteed For questions or comments call 1-866-251-1662.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Cranberry 500 mg by Spring Valley 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 Cranberry 500 mg by Spring Valley
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Tablet(s) Dosage formTablet Or Pill Servings per container30 Amounts shown are per serving.
Cranberry 12:1 extract
Interacts with712 drugs
Cranberry is best known for helping to prevent repeated urinary tract infections (UTIs) in some people, and the evidence here is moderate but mixed. I...
Cranberry 12:1 extract monograph & interactionsOther (inactive) ingredients: Dicalcium Phosphate, Cranberry extract, Microcrystalline Cellulose, Croscarmellose Sodium, Magnesium Hydroxide, Caramel color, Carmine color, Carnauba wax, Hydroxypropyl Methylcellulose, Magnesium Stearate, Polydextrose, Polyethylene Glycol, Silicon Dioxide, Stearic Acid. These complete the product’s ingredient list but are not active constituents.
Cranberry 500 mg by Spring Valley Drug Interactions
HelloPharmacist Interaction Report
Spring Valley Cranberry 500 mg interacts with several common medications through its cranberry extract.
The most serious concern is with blood thinners (anticoagulants) like warfarin — cranberry may increase warfarin levels and bleeding risk, though the evidence is mixed. Cranberry also moderately affects cholesterol-lowering statins (especially atorvastatin), blood pressure medications like nifedipine, and a broad range of drugs your liver metabolizes through the CYP3A4 enzyme system.
A case report documented muscle damage and liver problems when someone combined atorvastatin with large amounts of cranberry juice. Additionally, cranberry has minor interactions with pain relievers like diclofenac and with other drugs processed through the CYP2C9 enzyme pathway, though clinical evidence here is inconsistent.
Altogether, these interactions span 713 individual medications. If you take any blood thinner, statin, blood pressure medication, or other prescription drug, run it through the checker below before starting this supplement.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Cranberry 500 mg?
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 Cranberry 500 mg interact with 712 drugs. Click any drug to see the details.
1 of the 1 ingredient in Cranberry 500 mg interact with drugs. Each result below shows which ingredient is responsible. Cranberry 12:1 extract
AbrocitinibCibinqo
How Abrocitinib interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Abrocitinib interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Acetaminophen, Ibuprofen interactionAerosphere Budesonide, Formoterol Fumarate, GlycopyrrolateBreztri
How Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interactionAgomelatineValdoxan
How Agomelatine interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Agomelatine interactionAzilsartanEdarbi
How Azilsartan interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Azilsartan interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Azilsartan, Chlorthalidone interactionBudesonide, FormoterolSymbicort
How Budesonide, Formoterol interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Budesonide, Formoterol interactionBupivacaine, MeloxicamZynrelef Kit
How Bupivacaine, Meloxicam interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Bupivacaine, Meloxicam interactionCarvedilolCoreg, Coreg CR
How Carvedilol interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Carvedilol interactionCelecoxibCelebrex, Elyxyb
How Celecoxib interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Celecoxib interactionDiclofenacZorvolex
How Diclofenac interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Diclofenac (voltaren, Others) Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Diclofenac interactionDiclofenac PotassiumCambia, Cataflam, Cataflam IR, Voltaren Rapide, Voltarol Rapid
How Diclofenac Potassium interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Diclofenac (voltaren, Others) Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Diclofenac Potassium interactionDiclofenac SodiumAcoflam, Acoflam 75 SR, Acoflam Retard, Defenac, Defenac Retard, Defenac SR +40 more
How Diclofenac Sodium interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractDiclofenac (voltaren, Others), Cytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might modestly increase the levels and adverse effects of diclofenac.
Read the full Cranberry 12:1 Extract + Diclofenac Sodium interactionDiclofenac Sodium, MisoprostolArthrotec 50, Arthrotec 75
How Diclofenac Sodium, Misoprostol interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Diclofenac (voltaren, Others) Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Diclofenac Sodium, Misoprostol interactionDiclofenac EpolamineFlector, Licart
How Diclofenac Epolamine interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractDiclofenac (voltaren, Others), Cytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might modestly increase the levels and adverse effects of diclofenac.
Read the full Cranberry 12:1 Extract + Diclofenac Epolamine interactionDiphenhydramine Hydrochloride, Naproxen SodiumAleve PM
How Diphenhydramine Hydrochloride, Naproxen Sodium interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Diphenhydramine Hydrochloride, Naproxen Sodium interactionFamotidine, IbuprofenDuexis
How Famotidine, Ibuprofen interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Famotidine, Ibuprofen interactionFluoxetineProzac, Sarafem
How Fluoxetine interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Fluoxetine interactionFlurbiprofenAnsaid, Flurbiprofen, Flurprofen, Froben, Froben SR, Ocufen
How Flurbiprofen interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Flurbiprofen interactionFluvastatinLescol, Lescol XL
How Fluvastatin interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Fluvastatin interactionFomoterolForadil
How Fomoterol interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Fomoterol interactionFormoterolAtimos Modulite, Foradil Aerolizer, Foradil Certihaler, Oxis Turbohaler, Perforomist
How Formoterol interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Formoterol interactionFormoterol Fumarate, GlycopyrrolateBevespi Aerosphere
How Formoterol Fumarate, Glycopyrrolate interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Formoterol Fumarate, Glycopyrrolate interactionFosphenytoinCerebyx
How Fosphenytoin interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Fosphenytoin interactionFosphenytoin SodiumSesquient
How Fosphenytoin Sodium interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Fosphenytoin Sodium interactionGliclazideDiamicron
How Gliclazide interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Gliclazide interactionGlimepirideAmaryl
How Glimepiride interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Glimepiride interactionGlipizideGlucotrol, Glucotrol XL
How Glipizide interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Glipizide interactionGlipizide, MetforminMetaglip
How Glipizide, Metformin interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Glipizide, Metformin interactionGlyburideAlbert Glyburide, Diabeta, Glycron, Glynase, Glynase PresTab, Micronase +1 more
How Glyburide interacts with Cranberry 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Cranberry 12:1 ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Cranberry 12:1 Extract + Glyburide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Cranberry 500 mg with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Cranberry 12:1 extract
Atorvastatin (Lipitor)
Theoretically, cranberry might increase levels and adverse effects of atorvastatin.
In one case report, a patient taking atorvastatin experienced upper back pain, rhabdomyolysis, and abnormal liver function after drinking cranberry juice 16 ounces daily for 2 weeks. Theoretically, this may have been caused by inhibition of cytochrome P450 3A4 (CYP3A4) enzymes by cranberry juice, as atorvastatin is a CYP3A4 substrate. Creatinine kinase and liver enzymes normalized within 2 weeks of stopping cranberry juice. Patients taking atorvastatin should avoid large quantities of cranberry juice.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
A case of upper back pain, rhabdomyolysis, and abnormal liver function has been reported for a patient taking atorvastatin, a CYP3A4 substrate, in combination with cranberry juice 16 ounces daily for 2 weeks. Creatinine kinase and liver enzymes normalized within 2 weeks of stopping cranberry juice. Also, animal research suggests that cranberry juice, administered intraduodenally 30 minutes prior to nifedipine, a CYP3A4 substrate, inhibits nifedipine metabolism and increases the area under the concentration-time curve by 1.6-fold compared to control.
Nifedipine (Procardia)
Theoretically, cranberry might increase the levels and adverse effects of nifedipine.
Animal research suggests that cranberry juice, administered intraduodenally 30 minutes prior to nifedipine treatment, inhibits nifedipine metabolism and increases the area under the concentration-time curve by 1.6-fold compared to control. This interaction has not been reported in humans.
Warfarin (Coumadin)
Theoretically, cranberry might increase the levels and adverse effects of warfarin. However, research is conflicting.
There is contradictory evidence about the effect of cranberry juice on warfarin. Case reports have linked cranberry juice consumption to increases in the international normalized ratio (INR) in patients taking warfarin, resulting in severe spontaneous bleeding and excessive postoperative bleeding. Daily consumption of cranberry sauce for one week has also been linked to an increase in INR in one case report. In a small study in healthy young males, taking a high dose of 3 grams of cranberry juice concentrate capsules, equivalent to 57 grams of fruit daily, for 2 weeks produced a 30% increase in the area under the INR-time curve after a single 25-mg dose of warfarin. However, 3 very small clinical studies in patients stabilized on warfarin reported that cranberry juice 250 mL once or twice daily for 7 days (27% cranberry juice or pure cranberry juice) or 240 mL once daily for 14 days does not significantly increase INR or affect plasma warfarin levels. The reasons for these discrepant findings are unclear. It is possible that the form and dose of cranberry may play a role, as cranberry extracts and juices contain different constituents. Additionally, an in vitro study evaluating 5 different cranberry juices found varying effects, with only a cranberry concentrate, and not diluted cranberry juices, inhibiting CYP2C9. However, this concentrate did not inhibit CYP2C9 activity in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates. However, research is conflicting.
There is contradictory evidence about the effect of cranberry on CYP2C9 enzymes. In vitro evidence suggests that flavonoids in cranberry inhibit CYP2C9 enzymes. However, clinical research shows that cranberry juice does not significantly affect the levels, metabolism, or elimination of the CYP2C9 substrates flurbiprofen or diclofenac. Also, in patients stabilized on warfarin, drinking cranberry juice 250 mL daily for 7 days does not significantly increase the anticoagulant activity of warfarin, a CYP2C9 substrate. Additional pharmacokinetic research shows that cranberry juice does not increase peak plasma concentrations or area under the concentration-time curve of warfarin.
Diclofenac (Voltaren, Others)
Theoretically, cranberry might modestly increase the levels and adverse effects of diclofenac.
In vitro evidence suggests that cranberry juice inhibits diclofenac metabolism by human liver microsomes. However, drinking cranberry juice does not seem to affect diclofenac metabolism in humans.
Brand information
Manufacturer and brand details for Cranberry 500 mg, from the product label.
Spring Valley
See all Spring Valley products- Name
- Wal-Mart Stores, Inc.
- City
- Bentonville
- State
- AR
- ZipCode
- 72716
- Phone Number
- 1-866-251-1662
- Web Address
- Walmart.com/springvalley
Cranberry 500 mg by Spring Valley: Common Questions
Does Cranberry 500 mg by Spring Valley interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Will this help me prevent UTIs?
Can I take this if I'm on a blood thinner like warfarin?
What's the most common side effect?
Is it safe to take while pregnant or breastfeeding?
Will this hurt my statin medication?
I'm taking a blood pressure medication. Is this okay?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Cranberry 500 mg is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Cranberry 500 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Cranberry 500 mg'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 33 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.
Cranberry 33 references
- Anon. Possible interaction between warfarin and cranberry juice. Current Problems in Pharmacovigilance 2003;29:8. PubMed
- Greenblatt DJ, von Moltke LL, Perloff ES, et al. Interaction of flurbiprofen with cranberry juice, grape juice, tea, and fluconazole: in vitro and clinical studies. Clin Pharmacol Ther 2006;79:125-33. PubMed
- Hodek P, Trefil P, Stiborova M. Flavonoids-potent and versatile biologically active compounds interacting with cytochromes P450. Chem Biol Interact 2002;139:1-21.. PubMed
- Grant P. Warfarin and cranberry juice: An interaction? J Heart Valve Dis 2004;13:25-6.
- Suvarna R, Pirmohamed M, Henderson L. Possible interaction between warfarin and cranberry juice. BMJ 2003;327:1454. PubMed
- Li Z, Seeram NP, Carpenter CL, et al. Cranberry does not affect prothrombin time in male subjects on warfarin. J Am Diet Assoc 2006;106:2057-61. PubMed
- Lilja JJ, Backman JT, Neuvonen PJ. Effects of daily ingestion of cranberry juice on the pharmacokinetics of warfarin, tizanidine, and midazolam - probes of CYP2C9, CYP1A2 and CYP3A4. Clin Pharmacol The 2007:81:833-9. PubMed
- Wing DA, Rumney PJ, Preslicka CW, Chung JH. Daily cranberry juice for the prevention of asymptomatic bacteriuria in pregnancy: a randomized, controlled pilot study. J Urol 2008;180:1367-72. PubMed
- Mohammed Abdul MI, Jiang X, Williams KM, et al. Pharmacodynamic interaction of warfarin with cranberry but not with garlic in healthy subjects. Br J Pharmacol 2008;154:1691-700. PubMed
- McMurdo MET, Argo I, Phillips G, et al. Cranberry or trimethoprim for the prevention of recurrently urinary tract infections? A randomized controlled trial in older women. J Antimicrob Chemother 2009;63:389-95.
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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.
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