Grape Seed Antioxidant 50 mg Ingredients & Drug Interactions
by Enzymatic Therapy
What is this page for?
First and foremost: checking Grape Seed Antioxidant 50 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
Grape Seed Antioxidant 50 mg is a dietary supplement by Enzymatic Therapy with 1 active ingredient. Its ingredients are commonly taken for antioxidant support, heart and circulation health, vein problems (such as varicose veins).Based on those ingredients, 910 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Grape (Vitis vinifera) seed phytosome. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Grape Seed Antioxidant 50 mg by Enzymatic Therapy
Ask about any prescription or over-the-counter medication and we check it for interactions with Grape Seed Antioxidant 50 mg by Enzymatic Therapy — 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 Grape Seed Antioxidant 50 mg by Enzymatic Therapy
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: grape (Vitis vinifera) seed phytosome, a concentrated extract form designed to enhance absorption. The seed phytosome delivers grape's plant compounds—mainly proanthocyanidins—in a 50 mg dose per tablet.
The remaining ingredients are inactive excipients (fillers and binders like cellulose, magnesium stearate, and silicon dioxide) that help hold the tablet together.
Does it work?
Moderate evidence
Grape seed extract appears possibly effective for chronic venous insufficiency (CVI)—that's heaviness, swelling, or pain in the legs from weak vein valves. The evidence for other uses in this product is less clear: it's rated possibly ineffective for chemotherapy-related nausea and vomiting, allergic rhinitis (hay fever), and weight loss.
How safe is it?
Well-documented data
Grape seed extract is generally well tolerated in studies. The most common side effects are mild: abdominal pain, diarrhea, dry mouth, indigestion, headache, joint pain, and nausea.
A rare case of anaphylaxis to grape skin has been reported. During pregnancy, concentrated grape supplements should be avoided due to limited safety data; grapes as food are fine.
For breastfeeding, there isn't enough information on concentrated grape supplements, so talk it over with your doctor or pharmacist for personalized guidance.
Meds to double-check
Moderate interaction found
Before taking this product, check with your doctor or pharmacist if you use blood thinners or antiplatelet drugs (like warfarin, aspirin, or clopidogrel)—grape seed may increase bleeding risk. Also double-check if you take cyclosporine (an immunosuppressant), midazolam (a sedative), or medications broken down by CYP1A2, CYP2D6, CYP2E1, or CYP3A4 pathways—grape seed may change how these drugs work.
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.
Grape Seed Antioxidant may help with leg swelling and heaviness from weak veins, but it interacts with blood thinners and several drug-processing pathways in the liver—so it's not one to start without checking your medications first. If you take cyclosporine, midazolam, blood thinners, or other prescription drugs, discuss this supplement with your own doctor or pharmacist before adding it.
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 Sep 25, 2013.
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 Grape Seed Antioxidant 50 mg, straight from the product label.
| Brand | Enzymatic Therapy |
|---|---|
| Barcode (UPC) | 763948084920 |
| Net contents | 120 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Sep 25, 2013 |
| DSLD ID | 25188 |
| Product type | Botanical |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegetarian, Adult (18 - 50 Years), Gluten Free, Dairy Free, Sugar 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 Grape Seed Antioxidant 50 mg by Enzymatic Therapy, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Grape (Vitis vinifera) seed phytosome | 50 mg | -- |
Other ingredients: Cellulose, modified Cellulose Gum, Magnesium Stearate, Stearic Acid, Modified Cellulose, Silicon Dioxide, Soy Lecithin, Carnauba Wax
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.
Brand IP Statement(s)
Grape Seed Antioxidant is more absorbable than non-Phytosome(TM) extracts, thanks to a special, proprietary Phytosome process that promotes targeted delivery to cells and dramatically increases absorbability in the body.
General Statements
Grape Seed Antioxidant promotes healthy aging and supports healthy vein and capillary structure. Same great formula, now in tablet form.
ETI is an FDA-registered Drug Establishment.
Potent protection against free-radical damage More antioxidant power
ANTIOXIDANTS
This product contains natural ingredients; color variations are normal.
Suggested/Recommended/Usage/Directions
Recommendations: One tablet three times daily.
Precautions
If pregnant, nursing, or taking prescription drugs, consult your healthcare practitioner prior to use.
Seals/Symbols
VEGETARIAN
LABORATORY TESTED PURITY, SAFETY & PERFORMANCE
Enzymatic Therapy What Better Feels Like(R)
General
LC08492.A02
FDA Disclaimer Statement
THIS STATEMENT HAS NOT BEEN EVALUATED BY THE FOOD AND DRUG ADMINISTRATION. THIS PRODUCT IS NOT INTENDED TO DIAGNOSE, TREAT, CURE, OR PREVENT ANY DISEASE.
FDA Statement of Identity
DIETARY SUPPLEMENT
Formulation
Contains no sugar, salt, yeast, wheat, gluten, corn, dairy products, artificial coloring, artificial flavoring, preservatives, or ingredients of animal origin.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Grape Seed Antioxidant 50 mg by Enzymatic Therapy 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 Grape Seed Antioxidant 50 mg by Enzymatic Therapy
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 Amounts shown are per serving.
Grape (Vitis vinifera) seed phytosome
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...
Grape (Vitis vinifera) seed phytosome monograph & interactionsOther (inactive) ingredients: Cellulose, Modified Cellulose Gum, Magnesium Stearate, Stearic Acid, Modified Cellulose, Silicon Dioxide, Soy Lecithin, Carnauba Wax. These complete the product’s ingredient list but are not active constituents.
Grape Seed Antioxidant 50 mg by Enzymatic Therapy Drug Interactions
HelloPharmacist Interaction Report
Grape Seed Antioxidant by Enzymatic Therapy does interact with several medication types through its grape seed phytosome content.
The most serious concern is with blood thinners and antiplatelet drugs (medications that reduce clotting): grape extracts may thin the blood further and raise the risk of bleeding. Altogether, these interactions span 911 individual medications.
Read the full breakdown — every affected drug type, severity by severity
Grape seed extract affects how your liver processes multiple classes of medications. It may reduce the effectiveness of drugs broken down by the CYP1A2 pathway (including some pain relievers and stimulants) and theoretically increase levels of those processed through CYP2D6 and CYP2E1.
The CYP3A4 interaction is unpredictable—research suggests grape seed could either block or speed up this pathway, which would affect everything from cholesterol drugs to some immunosuppressants.
Two specific medications warrant extra caution: cyclosporine (used after transplant) can lose up to 30% absorption when taken with grape juice, so space them at least 2 hours apart; and long-term grape seed use may weaken midazolam (a sedative) over time. Before you start this supplement, run your exact medications through the search tool on this page to see what applies to you.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Grape Seed Antioxidant 50 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 Grape Seed Antioxidant 50 mg interact with 910 drugs. Click any drug to see the details.
1 of the 1 ingredient in Grape Seed Antioxidant 50 mg interact with drugs. Each result below shows which ingredient is responsible. Grape (Vitis vinifera) seed phytosome
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Grape (vitis Vinifera) Seed Phytosome + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeAnticoagulant/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 Grape (vitis Vinifera) Seed Phytosome + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Grape (vitis Vinifera) Seed Phytosome + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Grape (vitis Vinifera) Seed Phytosome + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Grape (vitis Vinifera) Seed Phytosome + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Grape (vitis Vinifera) Seed Phytosome + Acalabrutinib interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeAnticoagulant/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 Grape (vitis Vinifera) Seed Phytosome + Acenocoumarol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs +1 Moderate
Interaction Summary
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
Read the full Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome P450 2e1 (cyp2e1) Substrates, Anticoagulant/antiplatelet Drugs +2 Moderate
Interaction Summary
Theoretically, grape seed extract might increase the levels of CYP2E1 substrates.
Read the full Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, grape seed extract might increase the levels of CYP2E1 substrates.
Read the full Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +2 Moderate
Interaction Summary
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
Read the full Grape (vitis Vinifera) Seed Phytosome + 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 Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +2 Moderate
Interaction Summary
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
Read the full Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
Read the full Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +2 Moderate
Interaction Summary
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
Read the full Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Grape Seed Antioxidant 50 mg — through 1 ingredient. Tap an ingredient for the detail:
Grape (vitis Vinifera) Seed PhytosomeCytochrome 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 Grape (vitis Vinifera) Seed Phytosome + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Grape Seed Antioxidant 50 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.
Grape (Vitis vinifera) seed phytosome
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.
Brand information
Manufacturer and brand details for Grape Seed Antioxidant 50 mg, from the product label.
Enzymatic Therapy
- Name
- Enzymatic Therapy, Inc.
- City
- Green Bay
- State
- WI
- ZipCode
- 54311
- Phone Number
- 1-800-783-2286
- Web Address
- enzy.com
Grape Seed Antioxidant 50 mg by Enzymatic Therapy: Common Questions
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The Full Monographs Behind Grape Seed Antioxidant 50 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Grape Seed Antioxidant 50 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 34 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.
Grape 34 references
- Kiesewetter H, Koscielny J, Kalus U, et al. Efficacy of orally administered extract of red vine leaf AS 195 (folia vitis viniferae) in chronic venous insufficiency (stages I-II). A randomized, double-blind, placebo-controlled trial. Arzneimittelforschung
- Xiao Dong S, Zhi Ping Z, Zhong Xiao W, et al. Possible enhancement of the first-pass metabolism of phenacetin by ingestion of grape juice in Chinese subjects. Br J Clin Pharmacol 1999;48:638-40. PubMed
- Vaswani SK, Hamilton RG, Carey RN, et al. Anaphylaxis recurrent urticaria and angioedema from grape hypersensitivity. J Allergy Clin Immunol 1998;101:S31.
- Chevallier A. The Encyclopedia of Medicinal Plants. London, UK: Dorling Kindersley, Ltd., 1996.
- Bernstein DI, Bernstein CK, Deng C, et al. Evaluation of the clinical efficacy and safety of grapeseed extract in the treatment of fall seasonal allergic rhinitis: a pilot study. Ann Allergy Asthma Immunol 2002;88:272-8.. 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
- Ward NC, Hodgson JM, Croft KD, et al. The combination of vitamin C and grape-seed polyphenols increases blood pressure: a randomized, double-blind, placebo-controlled trial. J Hypertens 2005;23:427-34.. PubMed
- Ray, S. D., Parikh, H., Hickey, E., Bagchi, M., and Bagchi, D. Differential effects of IH636 grape seed proanthocyanidin extract and a DNA repair modulator 4-aminobenzamide on liver microsomal cytochrome 4502E1-dependent aniline hydroxylation. Mol Cell B PubMed
- O'Byrne, D. J., Devaraj, S., Grundy, S. M., and Jialal, I. Comparison of the antioxidant effects of Concord grape juice flavonoids alpha-tocopherol on markers of oxidative stress in healthy adults. Am J Clin.Nutr. 2002;76(6):1367-1374.
- Schaefer, E., Peil, H., Ambrosetti, L., and Petrini, O. Oedema protective properties of the red vine leaf extract AS 195 (Folia vitis viniferae) in the treatment of chronic venous insufficiency. A 6-week observational clinical trial. Arzneimittelforschun PubMed
- Nishikawa, M., Ariyoshi, N., Kotani, A., Ishii, I., Nakamura, H., Nakasa, H., Ida, M., Nakamura, H., Kimura, N., Kimura, M., Hasegawa, A., Kusu, F., Ohmori, S., Nakazawa, K., and Kitada, M. Effects of continuous ingestion of green tea or grape seed extra
- de Lange, D. W., Scholman, W. L., Kraaijenhagen, R. J., Akkerman, J. W., and van de Wiel, A. Alcohol and polyphenolic grape extract inhibit platelet adhesion in flowing blood. Eur.J Clin.Invest 2004;34(12):818-824. PubMed
- Samet, J. M. and Coultas, D. B. Reduced forced vital capacity in California grape workers. What does it mean? Am Rev.Respir.Dis 1992;145(2 Pt 1):255-256. PubMed
- Gamsky, T. E., McCurdy, S. A., Samuels, S. J., and Schenker, M. B. Reduced FVC among California grape workers. Am Rev.Respir.Dis 1992;145(2 Pt 1):257-262. PubMed
- de Lange, D. W., Verhoef, S., Gorter, G., Kraaijenhagen, R. J., van de Wiel, A., and Akkerman, J. W. Polyphenolic grape extract inhibits platelet activation through PECAM-1: an explanation for the French paradox. Alcohol Clin.Exp.Res 2007;31(8):1308-1314 PubMed
- Etheridge, A. S., Black, S. R., Patel, P. R., So, J., and Mathews, J. M. An in vitro evaluation of cytochrome P450 inhibition and P-glycoprotein interaction with goldenseal, Ginkgo biloba, grape seed, milk thistle, and ginseng extracts and their constitu
- Krikorian, R., Nash, T. A., Shidler, M. D., Shukitt-Hale, B., and Joseph, J. A. Concord grape juice supplementation improves memory function in older adults with mild cognitive impairment. Br J Nutr. 2010;103(5):730-734. PubMed
- Ingersoll, G. L., Wasilewski, A., Haller, M., Pandya, K., Bennett, J., He, H., Hoffmire, C., and Berry, C. Effect of concord grape juice on chemotherapy-induced nausea and vomiting: results of a pilot study. Oncol.Nurs.Forum 2010;37(2):213-221. PubMed
- Oliveira-Freitas, V. L., Dalla, Costa T., Manfro, R. C., Cruz, L. B., and Schwartsmann, G. Influence of purple grape juice in cyclosporine bioavailability. J Ren Nutr. 2010;20(5):309-313. PubMed
- Hollis, J. H., Houchins, J. A., Blumberg, J. B., and Mattes, R. D. Effects of concord grape juice on appetite, diet, body weight, lipid profile, and antioxidant status of adults. J Am Coll.Nutr. 2009;28(5):574-582. PubMed
- Dohadwala, M. M., Hamburg, N. M., Holbrook, M., Kim, B. H., Duess, M. A., Levit, A., Titas, M., Chung, W. B., Vincent, F. B., Caiano, T. L., Frame, A. A., Keaney, J. F., Jr., and Vita, J. A. Effects of Concord grape juice on ambulatory blood pressure in
- Rabe, E., Stucker, M., Esperester, A., Schafer, E., and Ottillinger, B. Efficacy and tolerability of a red-vine-leaf extract in patients suffering from chronic venous insufficiency--results of a double-blind placebo-controlled study. Eur.J Vasc.Endovasc. PubMed
- Trotta, M., Cesaretti, M., Conzi, R., Derchi, L. E., and Borgonovo, G. Elderly male with mesogastric pain. Small bowel obstruction caused by an intact fresh grape. Ann.Emerg.Med 2011;58(4):e1-e2. PubMed
- McCurdy, S. A., Wiggins, P., Schenker, M. B., Munn, S., Shaieb, A. M., Weinbaum, Z., Goldsmith, D., McGillis, S. T., Berman, B., and Samuels, S. Assessing dermatitis in epidemiologic studies: occupational skin disease among California grape and tomato ha
- Winter, C. K. and Kurtz, P. H. Factors influencing grape worker susceptibility to skin rashes. Bull.Environ.Contam Toxicol. 1985;35(3):418-426. PubMed
- Yamasaki, R., Dekio, S., and Jidoi, J. Contact dermatitis from grape bud. Contact Dermatitis 1985;12(4):226-227. PubMed
- Cox, J. and Grigg, M. Small bowel obstruction by an intact grape. J Am Geriatr.Soc 1986;34(7):550. PubMed
- Faircloth, D. E. and Robison, W. J. Obstruction of the sigmoid colon by grape seeds. JAMA 11-27-1981;246(21):2430. PubMed
- Marguerie, C. and Drouet, M. [Occupational eosinophilic lung in a grape grower: role of sulfites]. Allerg.Immunol.(Paris) 1995;27(5):163-167.
- Brito, FF., Martinez, A., Palacios, R., Mur, P., Gomez, E., Galindo, P. A., Borja, J., and Martinez, J. Rhinoconjunctivitis and asthma caused by vine pollen: a case report. J Allergy Clin Immunol 1999;103(2 Pt 1):262-266. PubMed
- Ras RT, Zock PL, Zebregs YE, et al. Effect of polyphenol-rich grape seed extract on ambulatory blood pressure in subjects with pre- and stage I hypertension. Br J Nutr 2013;110(12):2234-41. PubMed
- Berry AC, Nakshabendi R, Abidali H, et al. Adverse effects of grape seed extract supplement: A clinical case and long-term follow-up. J Diet Suppl. 2016;13(2):232-5. PubMed
- Martínez-Maqueda D, Zapatera B, Gallego-Narbón A, Vaquero MP, Saura-Calixto F, Pérez-Jiménez J. A 6-week supplementation with grape pomace to subjects at cardiometabolic risk ameliorates insulin sensitivity, without affecting other metabolic syndrome mark
- Moon SW, Shin YU, Cho H, Bae SH, Kim HK; and for the Mogen Study Group. Effect of grape seed proanthocyanidin extract on hard exudates in patients with non-proliferative diabetic retinopathy. Medicine (Baltimore) 2019;98(21):e15515. PubMed
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