Grape Seed (PCO) Phytosome 50 mg Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Grape Seed (PCO) Phytosome 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 (PCO) Phytosome 50 mg is a dietary supplement by Integrative Therapeutics 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 (PCO) Phytosome 50 mg by Integrative Therapeutics
Ask about any prescription or over-the-counter medication and we check it for interactions with Grape Seed (PCO) Phytosome 50 mg by Integrative Therapeutics — 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 (PCO) Phytosome 50 mg by Integrative Therapeutics
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 from grape seeds at 50 mg per tablet. The phytosome delivery system is designed to help your body absorb the active compounds — proanthocyanidins — more efficiently than plain grape seed extract.
The inactive ingredients are cellulose, modified cellulose gum, magnesium stearate, stearic acid, silicon dioxide, soy lecithin, and carnauba wax — common tablet binders, flow agents, and coatings.
Does it work?
Not established
The evidence for grape seed phytosome is limited. It's rated possibly effective for chronic venous insufficiency (CVI) — a condition where veins in your legs struggle to return blood to your heart — though the research isn't robust.
For chemotherapy-induced nausea and vomiting, allergic rhinitis (hay fever), and obesity, it's rated possibly ineffective, meaning the studies haven't shown a clear benefit. The facts don't establish effectiveness for other uses.
How safe is it?
Well-documented data
Grape seed extract is generally well tolerated. The most common side effects reported in studies are abdominal pain, diarrhea, dry mouth, indigestion, headache, joint pain, and nausea.
Anaphylaxis to grape skin is rare but has been reported. Because this is a concentrated supplement — not whole fruit — the safety data advises against it during pregnancy; stick to grapes as food if you're pregnant.
There isn't enough information on concentrated grape supplements while breastfeeding, so 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 take cyclosporine (used after transplants) — grape can significantly reduce how much your body absorbs. Also screen any blood thinners or antiplatelet drugs (like warfarin or aspirin) for a possible increased bleeding risk.
If you're on medications processed by your liver's CYP2D6, CYP2E1, or CYP3A4 enzymes — a very common group — run them through the interaction checker below, because grape seed extract may raise or lower their levels.
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.
Grape seed phytosome might help with chronic venous insufficiency, though the evidence is modest. It does interact with multiple medication categories — especially cyclosporine and blood thinners — so you'll want to check your full medication list with your pharmacist or doctor before starting.
If you're pregnant, avoid this supplement in favor of whole grapes. For anyone else considering it, a quick interaction screening is a smart first step.
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 Jul 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 (PCO) Phytosome 50 mg, straight from the product label.
| Brand | Integrative Therapeutics |
|---|---|
| Barcode (UPC) | 871791001381 |
| Net contents | 120 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Jul 25, 2013 |
| DSLD ID | 24053 |
| 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 (PCO) Phytosome 50 mg by Integrative Therapeutics, 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.
General
LI78492.A02
Seals/Symbols
VEGETARIAN
General Statements
This product contains natural ingredients; color variations are normal.
EVIDENCE-BASED
More antioxidant power and potent protection against free-radical damage
Grape Seed (PCO) Phytosome promotes healthy aging and supports healthy vein and capillary structure.
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
Suggested/Recommended/Usage/Directions
Recommendations: Take 1 tablet three times daily.
Precautions
If pregnant, nursing, or taking prescription drugs, consult your healthcare practitioner prior to use.
Brand IP Statement(s)
Grape Seed (PCO) Phytosome(TM) dietary supplement is more absorbable than non-Phytosome(TM) extracts, thanks to a special, Phytosome process that promotes targeted delivery to cells and dramatically increases absorbability in the body.
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 (PCO) Phytosome 50 mg by Integrative Therapeutics 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 (PCO) Phytosome 50 mg by Integrative Therapeutics
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 (PCO) Phytosome 50 mg by Integrative Therapeutics Drug Interactions
HelloPharmacist Interaction Report
Grape Seed (PCO) Phytosome by Integrative Therapeutics does interact with medications.
The main concern is through its grape seed phytosome content, which affects how your body processes several types of drugs. The most serious documented interaction is with cyclosporine (Neoral, Sandimmune) — a drug used after organ transplants — where grape juice has been shown in a study to reduce how much of the drug your body absorbs by up to 30%, which could reduce its effectiveness.
If you take cyclosporine, you'd need to space out your doses and this supplement by at least 2 hours.
Read the full breakdown — every affected drug type, severity by severity
Beyond cyclosporine, grape seed extract theoretically affects a number of enzyme systems in your liver that break down medications. It may reduce blood levels of some drugs processed through the CYP1A2 pathway (including the older pain reliever phenacetin), may increase levels of others processed through CYP2D6 and CYP2E1, and has conflicting evidence for CYP3A4 substrates — meaning it could raise or lower their levels depending on whether you take it short-term or long-term.
Long-term use specifically might reduce the effects of midazolam (Versed), a sedative. These enzyme interactions haven't been confirmed in humans yet, but they're a real concern on paper.
Grape seed extract also carries a theoretical risk of increased bleeding if you combine it with blood thinners or antiplatelet drugs — the evidence is limited to lab studies showing grape can reduce platelet clumping, but it's worth mentioning. Altogether, these interactions span 911 individual medications.
To be safe, run your exact medications through the search tool below before you start this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Grape Seed (PCO) Phytosome 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 (PCO) Phytosome 50 mg interact with 910 drugs. Click any drug to see the details.
1 of the 1 ingredient in Grape Seed (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 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 (PCO) Phytosome 50 mg, from the product label.
Integrative Therapeutics
See all Integrative Therapeutics products- Name
- Integrative Therapeutics, Inc.
- City
- Green Bay
- State
- WI
- ZipCode
- 54311
- Phone Number
- 1.800.931.1709
- Web Address
- www.integrativeinc.com
Grape Seed (PCO) Phytosome 50 mg by Integrative Therapeutics: Common Questions
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The Full Monographs Behind Grape Seed (PCO) Phytosome 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 (PCO) Phytosome 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