Grape Seed Extract 200 mg Ingredients & Drug Interactions
by Swanson
What is this page for?
First and foremost: checking Grape Seed Extract 200 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 Extract 200 mg is a dietary supplement by Swanson 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 MegaNatural Gold Grape seed extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Grape Seed Extract 200 mg by Swanson
Ask about any prescription or over-the-counter medication and we check it for interactions with Grape Seed Extract 200 mg by Swanson — 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 Extract 200 mg by Swanson
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 a single active ingredient: MegaNatural Gold grape seed extract at 200 mg per capsule. Grape seed extract is the concentrated form of compounds from grape seeds, notably proanthocyanidins.
The capsule also contains inactive ingredients — gelatin, rice flour, magnesium stearate, and silica — which are fillers and binders that help form and stabilize the supplement.
Does it work?
Not established
Grape seed extract is possibly effective for chronic venous insufficiency (CVI) — a condition where veins in the legs have trouble returning blood to the heart. The evidence we have suggests it may help with symptoms, though the data isn't conclusive.
For chemotherapy-induced nausea and vomiting, allergic rhinitis (hay fever), and obesity, the evidence suggests it's probably not effective.
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.
Anaphylaxis to grape skin has been reported rarely. As a concentrated supplement, it should be avoided during pregnancy due to limited safety data; whole grapes as food are fine.
There isn't enough information on concentrated grape supplements during breastfeeding — talk with your doctor or pharmacist about whether it's right for you if you're nursing.
Meds to double-check
Moderate interaction found
Before you take this product, check with your doctor or pharmacist if you're on a blood thinner or antiplatelet drug — grape seed extract may raise your bleeding risk. Also flag it if you take cyclosporine (it may reduce how much your body absorbs) or if you use midazolam long-term (it may decrease its effects).
Several other medication types may be affected based on how your body processes drugs; the interaction checker will help you sort that out with your exact medications.
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 have chronic venous insufficiency, this extract may be worth considering based on the evidence we have. But if you take a blood thinner, antiplatelet drug, cyclosporine, or midazolam, you'll need to clear it with your doctor or pharmacist first — the interaction risks are real.
Even if none of those apply, run your complete medication list through the interaction checker on this page before you start.
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 Mar 22, 2023.
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 Extract 200 mg, straight from the product label.
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 Extract 200 mg by Swanson, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| MegaNatural Gold Grape seed extract | 200 mg | -- |
Other ingredients: Gelatin, Rice Flour, Magnesium Stearate, Silica
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.
Formula
Standardized to 90% polyphenols
Grape Seed extract 200 mg per capsule
Formulation
Offers antioxidant support to neutralize free radicals and fortify the body's defenses
Antioxidant support
General Statements
Science-Backed Quality Since 1969
Suggested/Recommended/Usage/Directions
Suggested Use: As a dietary supplement, take one capsule one to two times per day with water.
Brand IP Statement(s)
MegaNatural Gold is a registered trademark of Polyphenolics, Inc.
Precautions
Warning: For adults only.
Consult your healthcare provider before using this or any product if you are pregnant or nursing, taking medication or have a medical condition.
Keep out of reach of children.
Do not use if seal is broken.
Storage
Store in a cool, dry place.
FDA Disclaimer Statement
These statements have 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
Herbal Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Grape Seed Extract 200 mg by Swanson 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 Extract 200 mg by Swanson
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container60 Amounts shown are per serving.
MegaNatural Gold Grape seed extract
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...
MegaNatural Gold Grape seed extract monograph & interactionsOther (inactive) ingredients: Gelatin, Rice Flour, Magnesium Stearate, Silica. These complete the product’s ingredient list but are not active constituents.
Grape Seed Extract 200 mg by Swanson Drug Interactions
HelloPharmacist Interaction Report
Swanson's Grape Seed Extract 200 mg contains MegaNatural Gold grape seed extract, which interacts with several medication types.
The most serious concern is with blood thinners and antiplatelet drugs (medications that prevent blood clots) — grape seed extract may increase bleeding risk if you're taking these. It's also documented to reduce absorption of cyclosporine (an immunosuppressant), and long-term use may decrease the effects of midazolam (a sedative).
Read the full breakdown — every affected drug type, severity by severity
Grape seed extract may affect how your body processes several other drug categories. It theoretically may increase levels of certain medications broken down by CYP2D6 enzymes, though this hasn't been seen in human studies yet.
It may either increase or decrease levels of drugs processed by CYP3A4 enzymes — the research is mixed and no human cases are reported. Similarly, it may increase levels of medications using CYP1A2 and CYP2E1 pathways, though again, human interactions haven't been documented.
Altogether, these interactions span 911 individual medications. Use the interaction checker below with your exact prescriptions before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Grape Seed Extract 200 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 Extract 200 mg interact with 910 drugs. Click any drug to see the details.
1 of the 1 ingredient in Grape Seed Extract 200 mg interact with drugs. Each result below shows which ingredient is responsible. MegaNatural Gold Grape seed extract
AzilsartanEdarbi
How Azilsartan interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Azilsartan interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Azilsartan, Chlorthalidone interactionBupivacaine, MeloxicamZynrelef Kit
How Bupivacaine, Meloxicam interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Bupivacaine, Meloxicam interactionCelecoxibCelebrex, Elyxyb
How Celecoxib interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Celecoxib interactionFlurbiprofenAnsaid, Flurbiprofen, Flurprofen, Froben, Froben SR, Ocufen
How Flurbiprofen interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Flurbiprofen interactionFluvastatinLescol, Lescol XL
How Fluvastatin interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Fluvastatin interactionFosphenytoinCerebyx
How Fosphenytoin interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Fosphenytoin interactionFosphenytoin SodiumSesquient
How Fosphenytoin Sodium interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Fosphenytoin Sodium interactionGliclazideDiamicron
How Gliclazide interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Gliclazide interactionGlimepirideAmaryl
How Glimepiride interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Glimepiride interactionGlipizideGlucotrol, Glucotrol XL
How Glipizide interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Glipizide interactionGlipizide, MetforminMetaglip
How Glipizide, Metformin interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Glipizide, Metformin interactionGlyburideAlbert Glyburide, Diabeta, Glycron, Glynase, Glynase PresTab, Micronase +1 more
How Glyburide interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Glyburide interactionGlyburide, MetforminGlucovance
How Glyburide, Metformin interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Glyburide, Metformin interactionHydrochlorothiazide, IrbesartanAvalide
How Hydrochlorothiazide, Irbesartan interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Hydrochlorothiazide, Irbesartan interactionHydrochlorothiazide, ValsartanDiovan HCT
How Hydrochlorothiazide, Valsartan interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Hydrochlorothiazide, Valsartan interactionIndomethacinIndo-Lemmon, Indocin, Indocin SR, Indomethagan, Tivorbex
How Indomethacin interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Indomethacin interactionIrbesartanAprovel, Avapro
How Irbesartan interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Irbesartan interactionIrbesartan, HydrochlorothiazideCoAprovel
How Irbesartan, Hydrochlorothiazide interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Irbesartan, Hydrochlorothiazide interactionLesinuradZurampic
How Lesinurad interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Lesinurad interactionLesinurad, AllopurinolDuzallo
How Lesinurad, Allopurinol interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Lesinurad, Allopurinol interactionLumiracoxibPrexige
How Lumiracoxib interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Lumiracoxib interactionMefenamic AcidPonstel
How Mefenamic Acid interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Mefenamic Acid interactionMeloxicamAnjeso, Mobic, Qmiiz ODT, Vivlodex
How Meloxicam interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Meloxicam interactionMephenytoinMesantoin
How Mephenytoin interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Mephenytoin interactionMetformin, RosiglitazoneAvandamet
How Metformin, Rosiglitazone interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Metformin, Rosiglitazone interactionMontelukast SodiumSingulair
How Montelukast Sodium interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Montelukast Sodium interactionNateglinideStarlix
How Nateglinide interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Nateglinide interactionPhenobarbital, PhenytoinDilantin with PB
How Phenobarbital, Phenytoin interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Phenobarbital, Phenytoin interactionPhenytoinDi-Phen, Dilantin, Dilantin Infatabs, Dilantin injection, Dilantin Kapseals, Phenytek
How Phenytoin interacts with Grape Seed Extract 200 mg — through 1 ingredient. Tap an ingredient for the detail:
Meganatural Gold Grape Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
Read the full Meganatural Gold Grape Seed Extract + Phenytoin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Grape Seed Extract 200 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.
MegaNatural Gold Grape seed extract
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 Extract 200 mg, from the product label.
Swanson
See all Swanson products- Name
- Swanson Health Products
- City
- Fargo
- State
- ND
- ZipCode
- 58104
- Phone Number
- 1-800-437-4148
- Web Address
- swanson.com
Grape Seed Extract 200 mg by Swanson: Common Questions
Does Grape Seed Extract 200 mg by Swanson interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take grape seed extract if I'm pregnant?
What are the most common side effects?
Does this actually help with vein problems?
Is there enough information about taking it while breastfeeding?
What's MegaNatural Gold?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Grape Seed Extract 200 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 Grape Seed Extract 200 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 Extract 200 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
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