Interactions on record — worth a quick check against your medications. Based on 1 of 2 ingredients. Check your meds →
Dietary supplement

Graviola Extract Ingredients & Drug Interactions

by Indiana Botanic Gardens

Capsule Category: Botanical
Most serious interaction: Moderate
The interaction bottom line Most serious interaction: Moderate

Graviola Extract is a dietary supplement by Indiana Botanic Gardens with 2 active ingredients. Its ingredients are commonly taken for cancer support (unproven), infections, inflammation.Based on those ingredients, 1 medication has a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Graviola 4:1 extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of Graviola Extract by Indiana Botanic Gardens

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.

From our pharmacy team — supplement deep dive

What’s inside

Full disclosure
Ingredient Transparency · database check
Full

Every active ingredient lists its own amount on the label.

Why this rating?
  • The label discloses an exact amount for 2 of its 2 active ingredients.
  • No proprietary blends here — you can verify the dose of every single component.

This product contains 2 active ingredients. The main one is Graviola 4:1 extract — a concentrated form of graviola fruit traditionally used in herbal medicine.

The other ingredient listed is Other Carbohydrates; we hold no interaction data for it. The capsule also contains inactive ingredients: maltodextrin, gelatin, rice flour, and vegetable magnesium stearate — these are fillers and binders that hold the supplement together.

Does it work?

Couldn't assess
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Not assessable

We hold no graded evidence for this product's ingredients for its stated purpose.

Why this rating?
  • The label markets this product for: Stress Support.
  • We looked for evidence on: Anxiety, Tension, Relaxation, Mood.
  • Our graded evidence for these ingredients doesn't cover that particular purpose.

The evidence for graviola's effectiveness isn't established in our data. We have insufficient reliable evidence to rate it for human papillomavirus (HPV), headache, use as an insect repellent, or male infertility.

If you're considering it for one of these purposes, talk with your doctor about whether the evidence supports it and what other options might work better.

The evidence, ingredient by ingredient Graviola

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 1 of the 1 matched ingredient.
  • Pregnancy & breastfeeding safety ratings cover 1 of 1.
  • General safety write-ups exist for 1 of 1.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Human safety data for graviola are limited, and there are concerns about possible nerve toxicity with long-term use. The most common side effects reported are stomach pain and nausea.

Rarely, people have experienced movement disorders or nerve damage (myeloneuropathy) — symptoms that can resemble Parkinson disease. One study even suggests that regular consumption of graviola may worsen motor and cognitive symptoms in people with Parkinson disease.

Graviola is rated possibly unsafe in pregnancy and should be avoided while breastfeeding because there isn't enough safety information. If you're pregnant, planning to become pregnant, or breastfeeding, talk with your doctor or pharmacist before taking this product.

Side effects, ingredient by ingredient Graviola

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 1 of the 1 matched ingredient can interact with medications — Graviola.
  • The most serious interaction on file is rated Moderate.
  • For scale: 1 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

If you take carbamazepine (Tegretol) for seizures, this product may reduce how well it works — a Moderate concern. Check with your doctor or pharmacist before combining them.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.

Graviola Extract may be worth discussing with your doctor if you're interested in it for a specific health purpose — but the evidence for its effectiveness isn't well established. The bigger concern is that it can lower seizure-medicine levels if you take carbamazepine, and long-term use raises questions about nerve safety.

If you're pregnant, breastfeeding, or have Parkinson disease, steer clear. Check with your doctor or pharmacist before starting, especially if you take any medications.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 1 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 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

At a glance

General information

Key facts about Graviola Extract, straight from the product label.

Brand Indiana Botanic Gardens
Barcode (UPC) 703308020595
Net contents 60 Capsule(s)
Market status On market
Date entered into DSLD Nov 25, 2013
DSLD ID 27599
Product type Botanical
Supplement form Capsule
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years)
From the 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 Graviola Extract by Indiana Botanic Gardens, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
1 Capsule(s)
Maximum serving Sizes:
2 Capsule(s)
Servings per container
30
UPC/BARCODE
703308020595
IngredientAmount% DV
Calories5 {Calories}1%
Total Carbohydrates1 Gram(s)1%
Other Carbohydrates1 Gram(s)--
Graviola 4:1 extract1 Gram(s)--

Other ingredients: Maltodextrin, Gelatin, Rice Flour, Vegetable Magnesium Stearate

Tap any ingredient to jump to its full detail below.

Label statements
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.
Suggested/Recommended/Usage/Directions

Suggested Use: Take 1-2 capsules daily, as a dietary supplement, or as directed by a physician.

Precautions

Warning: If you are taking any medications or are pregnant or nursing do not use prior to consulting a physician.

For your protection, this container has an outer safety seal. (Do not accept if missing or broken.)

KEEP OUT OF REACH OF CHILDREN

General Statements

Best if used by date on bottle.

Stress Support

Storage

Store in a dry, cool place.

FDA Statement of Identity

Herbal Supplement

Seals/Symbols

IBG INDIANA BOTANIC GARDENS(R)

FDA Disclaimer Statement

This statement has not been evaluated by the Food & Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

See for yourself

Graviola Extract by Indiana Botanic Gardens label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

What’s inside

The Ingredients in Graviola Extract by Indiana Botanic Gardens

These are the 2 active ingredients this product is made of. Select any to open its full monograph.

Serving size1 Capsule(s) Dosage formCapsule Servings per container30 Amounts shown are per serving.

Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.

Other Carbohydrates

1 Gram(s) per serving

Graviola 4:1 extract

Interacts with
1 drug
1 Gram(s) per serving

Graviola (soursop) is a tropical fruit tree whose leaves, fruit, and bark are used in traditional medicine, especially in parts of South America, Afri...

Graviola 4:1 extract monograph & interactions

Other (inactive) ingredients: Maltodextrin, Gelatin, Rice Flour, Vegetable Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.

Interaction report

Graviola Extract by Indiana Botanic Gardens Drug Interactions

Want to check YOUR meds against Graviola Extract?

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 checker
1Drugs
1 Moderate

Ingredients driving the most interactions

Each ingredient & the kinds of drugs it affects

For each ingredient in Graviola Extract 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.

Graviola 4:1 extract1 drug type · 1 drug

Carbamazepine (Tegretol)

Theoretically, graviola might decrease concentrations of carbamazepine when used concomitantly.
A study in rats shows that graviola extract reduces the area under the curve of carbamazepine by 46% and maximum concentration by 35% when compared with carbamazepine alone.

Likelihood Possible Evidence D
The maker

Brand information

Manufacturer and brand details for Graviola Extract, from the product label.

Pharmacist Counseling Corner

Graviola Extract by Indiana Botanic Gardens: Common Questions

Does Graviola Extract by Indiana Botanic Gardens interact with any medications?
Yes. Based on its ingredients, Graviola Extract has a known interaction with 1 medication. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Graviola Extract contains 2 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Can I take this if I'm pregnant or breastfeeding?
No. Graviola is rated possibly unsafe in pregnancy, and there isn't enough safety information for breastfeeding — both are reasons to avoid it. Talk with your doctor or pharmacist for personalized advice if you're pregnant, planning to become pregnant, or nursing.
What are the most common side effects?
Stomach pain and nausea are the most common reported. Rare but serious side effects — movement disorders and nerve damage that can look like Parkinson disease symptoms — have also been reported with regular use.
Does graviola work for HPV, headaches, or insect repellent?
The evidence isn't established yet. We have insufficient reliable evidence to rate graviola for those purposes. If you're considering it for one of them, ask your doctor what the current research shows and what alternatives might help.
Is this safe to use long-term?
Human safety data are limited, and lab studies raise concerns about possible nerve toxicity with long-term use. It's a reason to check with your doctor or pharmacist before starting, especially if you're thinking of taking it regularly.
What's a 4:1 extract?
A 4:1 extract means the ingredient has been concentrated so that 4 parts of the original plant material become 1 part of the extract — it's a way to make the active compounds more potent.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Not sure if Graviola Extract is safe with your meds?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.

Graviola Extract label
Go deeper

The Full Monographs Behind Graviola Extract’s Ingredients

Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.

Sources

Sources & How We Checked

Graviola Extract'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.

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 4 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.

Graviola 4 references
  1. Caparros-Lefebvre D, Elbaz A. Possible relation of atypical parkinsonism in the French West Indies with consumption of tropical plants: a case-control study. Caribbean Parkinsonism Study Group. Lancet 1999;354:281-6. PubMed
  2. Gavamukulya Y, Wamunyokoli F, El-Shemy HA. Annona muricata: Is the natural therapy to most disease conditions including cancer growing in our backyard? A systematic review of its research history and future prospects. Asian Pac J Trop Med. 2017;10(9):835- PubMed
  3. Abu Soukhon AA, Abu-Qatouseh L, Mansoor K, et al. Cytotoxicity Activity of Graviola Fruit Extract with Carbamazepine and Valproic Acid Show Antagonistic and Indifferent Effects. Asian Pac J Cancer Prev 2023;24(6):1869-1875. PubMed
  4. Cleret de Langavant L, Roze E, Petit A, et al. Annonaceae Consumption Worsens Disease Severity and Cognitive Deficits in Degenerative Parkinsonism. Mov Disord 2022;37(12):2355-2366. PubMed

See these in context on the Graviola monograph →

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

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