Guarana Extract Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Guarana Extract 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
Guarana Extract is a dietary supplement by BulkSupplements.com with 1 active ingredient. Its ingredients are commonly taken for energy and alertness, reducing fatigue, weight loss support.Based on those ingredients, 655 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Guarana extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Guarana Extract by BulkSupplements.com
Ask about any prescription or over-the-counter medication and we check it for interactions with Guarana Extract by BulkSupplements.com — 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 Guarana Extract by BulkSupplements.com
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: guarana extract, a concentrated form of guarana, a South American plant seed that's naturally high in caffeine. The powder form makes it easy to mix into drinks or foods.
There are no other inactive ingredients listed.
Does it work?
Couldn't assess
The evidence for guarana's effectiveness on the conditions listed—athletic performance, fatigue (including cancer-related and chemotherapy-related), anxiety, and loss of appetite—is insufficient to establish whether it works. We hold no data showing real benefit for these uses in our sources.
How safe is it?
Well-documented data
Guarana is generally well tolerated in small amounts, but its high caffeine content is the main concern. The most common side effects from oral use are stomach burning and nausea.
Larger doses raise the risk of more serious effects: insomnia (especially in children), nervousness, tremors, dizziness, headache, anxiety, and in rare cases anaphylaxis in people sensitive to caffeine. Because guarana is high in caffeine, the safety data advises against it during pregnancy.
While limited caffeine may be possibly safe in pregnancy, guarana's concentration makes it risky. Caffeine passes into breast milk, so it's best avoided or strictly limited while breastfeeding.
Talk with your doctor or pharmacist about whether this product fits your individual situation.
Meds to double-check
Major interaction found
Before taking guarana, double-check with your doctor or pharmacist if you take ephedrine or any decongestant (Major severity concern). Also watch for seizure medications (valproate, felbamate, carbamazepine), antidepressants like fluvoxamine, the antipsychotic clozapine, the heart medication dipyridamole, or disulfiram for alcohol dependence.
The high caffeine content amplifies effects and side effects of these drugs.
The bottom line
Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Major medication interactions have been identified, and safety information is well characterized.
Guarana is a concentrated caffeine source, so it's best suited to people looking for a stimulant boost who don't take seizure medications, antidepressants, antipsychotics, or decongestants. If you're on any prescription medication—especially for seizures, mood, or blood pressure—check with your own doctor or pharmacist before starting it.
Pregnant or breastfeeding? Talk it over with your healthcare provider first.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Aug 23, 2021.
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 Guarana Extract, straight from the product label.
| Brand | BulkSupplements.com |
|---|---|
| Barcode (UPC) | X0018E8YG5 |
| Net contents | 500 Gram(s); 17.6 Ounce(s) |
| Market status | On market |
| Date entered into DSLD | Aug 23, 2021 |
| DSLD ID | 253781 |
| Product type | Botanical |
| Supplement form | Powder |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Dairy 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 Guarana Extract by BulkSupplements.com, sourced from the NIH Dietary Supplement Label Database.
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 Statements
Clean & pure bulk supplements
Formulation
Color may vary
Free of: Added sugar, soy, dairy, gluten, additives
FDA Disclaimer Statement
Warning: This product is not intended to diagnose, treat, cure, or prevent any disease.
Precautions
Always consult a physician before taking any dietary supplement.
Keep out of reach of children.
Suggested/Recommended/Usage/Directions
Suggested Use: As a dietary supplement, take 400 mg (1/5 tsp) daily with water, or as directed by a physician.
Storage
Store in a dry, cool place
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Guarana Extract by BulkSupplements.com 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 Guarana Extract by BulkSupplements.com
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size400 mg Dosage formPowder Servings per container1250 Amounts shown are per serving.
Guarana extract
Interacts with655 drugs
Guarana is an Amazonian seed that is naturally high in caffeine, which explains most of its stimulant and energy effects. While it may give a short-te...
Guarana extract monograph & interactionsOther (inactive) ingredients: None. These complete the product’s ingredient list but are not active constituents.
Guarana Extract by BulkSupplements.com Drug Interactions
HelloPharmacist Interaction Report
Guarana Extract by BulkSupplements.com interacts with medications through its caffeine content.
The most serious concern is with ephedrine (a decongestant and stimulant), where the combination can trigger Major-severity stimulant side effects—including potentially life-threatening reactions like heart irregularities and dangerous changes in blood pressure.
Read the full breakdown — every affected drug type, severity by severity
Several other medication types carry Moderate-severity interactions. Guarana may reduce the effectiveness of seizure medications (valproate, felbamate, and carbamazepine), raising the risk of breakthrough seizures.
It can also boost caffeine levels if you're taking fluvoxamine (an antidepressant) or clozapine (an antipsychotic), increasing side effects from those drugs. Additionally, guarana may block the blood-vessel-opening effects of dipyridamole (used during stress tests) and can slow how your body clears caffeine if you're on disulfiram (used for alcohol dependence).
Altogether, these interactions span 655 individual medications. Use the search tool on this page to check your specific prescriptions before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Guarana 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 checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Guarana Extract interact with 655 drugs. Click any drug to see the details.
1 of the 1 ingredient in Guarana Extract interact with drugs. Each result below shows which ingredient is responsible. Guarana extract
AbametapirXeglyze
How Abametapir interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Abametapir interactionAbiraterone
How Abiraterone interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Abiraterone interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, taking guarana with antidiabetes drugs might interfere with blood glucose control.
Read the full Guarana Extract + Acarbose interactionAcepromazineAtravet
How Acepromazine interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractPhenothiazines Minor
Interaction Summary
Theoretically, phenothiazines might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Acepromazine interactionAcetohexamideDymelor
How Acetohexamide interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, taking guarana with antidiabetes drugs might interfere with blood glucose control.
Read the full Guarana Extract + Acetohexamide interactionAlbiglutideTanzeum
How Albiglutide interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, taking guarana with antidiabetes drugs might interfere with blood glucose control.
Read the full Guarana Extract + Albiglutide interactionAlogliptinNesina
How Alogliptin interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, taking guarana with antidiabetes drugs might interfere with blood glucose control.
Read the full Guarana Extract + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractAntidiabetes Drugs, Metformin (glucophage) Minor
Interaction Summary
Theoretically, taking guarana with antidiabetes drugs might interfere with blood glucose control.
Read the full Guarana Extract + Alogliptin, Metformin interactionAmiodaroneCordarone, Pacerone
How Amiodarone interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Amiodarone interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractPhenothiazines Minor
Interaction Summary
Theoretically, phenothiazines might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Amitriptyline, Perphenazine interactionAmoxicillin, Omeprazole Magnesium, RifabutinTalicia
How Amoxicillin, Omeprazole Magnesium, Rifabutin interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, taking guarana with antidiabetes drugs might interfere with blood glucose control.
Read the full Guarana Extract + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionAtazanavirReyataz
How Atazanavir interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Atazanavir interactionAtazanavir, CobicistatEvotaz
How Atazanavir, Cobicistat interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Atazanavir, Cobicistat interactionBirth Control PillsBirth control pills
How Birth Control Pills interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractContraceptive Drugs Minor
Interaction Summary
Theoretically, concomitant use might increase the effects and adverse effects of caffeine found in guarana.
Read the full Guarana Extract + Birth Control Pills interactionCanagliflozinInvokana
How Canagliflozin interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, taking guarana with antidiabetes drugs might interfere with blood glucose control.
Read the full Guarana Extract + Canagliflozin interactionCanagliflozin, MetforminInvokamet
How Canagliflozin, Metformin interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractAntidiabetes Drugs, Metformin (glucophage) Minor
Interaction Summary
Theoretically, taking guarana with antidiabetes drugs might interfere with blood glucose control.
Read the full Guarana Extract + Canagliflozin, Metformin interactionCanagliflozin, Metformin HydrochlorideInvokamet XR
How Canagliflozin, Metformin Hydrochloride interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractAntidiabetes Drugs, Metformin (glucophage) Minor
Interaction Summary
Theoretically, taking guarana with antidiabetes drugs might interfere with blood glucose control.
Read the full Guarana Extract + Canagliflozin, Metformin Hydrochloride interactionCannabidiol (prescription Drug)Epidiolex
How Cannabidiol (prescription Drug) interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Cannabidiol (prescription Drug) interactionCarphenazineProketazin
How Carphenazine interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractPhenothiazines Minor
Interaction Summary
Theoretically, phenothiazines might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Carphenazine interactionChlorpromazineThorazine, Thorazine Spansules
How Chlorpromazine interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractPhenothiazines Minor
Interaction Summary
Theoretically, phenothiazines might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Chlorpromazine interactionChlorpropamideChlorpropam, Diabinese
How Chlorpropamide interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, taking guarana with antidiabetes drugs might interfere with blood glucose control.
Read the full Guarana Extract + Chlorpropamide interactionCinoxacinCinobac
How Cinoxacin interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractQuinolone Antibiotics Minor
Interaction Summary
Theoretically, quinolone antibiotics might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Cinoxacin interactionCiprofloxacinCiloxan, Cipro, Cipro IV, Cipro XR, Ciprobay, Otiprio
How Ciprofloxacin interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractQuinolone Antibiotics, Cytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, quinolone antibiotics might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Ciprofloxacin interactionCitalopramCelexa
How Citalopram interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Citalopram interactionClarithromycinBiaxin, Biaxin XL
How Clarithromycin interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractCytochrome P450 1a2 (cyp1a2) Inhibitors Minor
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Clarithromycin interactionClinafloxacinClinafloxacin
How Clinafloxacin interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractQuinolone Antibiotics Minor
Interaction Summary
Theoretically, quinolone antibiotics might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Clinafloxacin interactionCyamemazineTercian
How Cyamemazine interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractPhenothiazines Minor
Interaction Summary
Theoretically, phenothiazines might increase the levels and adverse effects of caffeine.
Read the full Guarana Extract + Cyamemazine interactionDapagliflozinFarxiga
How Dapagliflozin interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, taking guarana with antidiabetes drugs might interfere with blood glucose control.
Read the full Guarana Extract + Dapagliflozin interactionDapagliflozin Propanediol, MetforminXigduo XR
How Dapagliflozin Propanediol, Metformin interacts with Guarana Extract — through 1 ingredient. Tap an ingredient for the detail:
Guarana ExtractAntidiabetes Drugs, Metformin (glucophage) Minor
Interaction Summary
Theoretically, taking guarana with antidiabetes drugs might interfere with blood glucose control.
Read the full Guarana Extract + Dapagliflozin Propanediol, Metformin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Guarana 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.
Guarana extract
Ephedrine
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Guarana contains caffeine. Use of ephedrine with caffeine can increase the risk of stimulatory adverse effects. There is evidence that using ephedrine with caffeine might increase the risk of serious life-threatening or debilitating adverse effects such as hypertension, myocardial infarction, stroke, seizures, and death.
Adenosine (Adenocard)
Theoretically, guarana might decrease the vasodilatory effects of adenosine and interfere with its use prior to stress testing.
Guarana contains caffeine. Caffeine is a competitive inhibitor of adenosine at the cellular level. However, caffeine does not seem to affect supplemental adenosine because high interstitial levels of adenosine overcome the antagonistic effects of caffeine. It is recommended that methylxanthines and methylxanthine-containing products be stopped 24 hours prior to pharmacological stress tests. However, methylxanthines appear more likely to interfere with dipyridamole (Persantine) than adenosine-induced stress testing.
Anticoagulant/Antiplatelet Drugs
Theoretically, guarana may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In vitro and animal research suggests that guarana extract can inhibit platelet aggregation. This effect may be due to the caffeine in guarana, which is also reported to have antiplatelet activity. This interaction has not been reported in humans.
Beta-Adrenergic Agonists
Theoretically, concomitant use might increase the clinical effects of beta-adrenergic agonists.
Guarana contains caffeine. Theoretically, concomitant use of large amounts of caffeine might increase cardiac inotropic effects of beta-agonists.
Carbamazepine (Tegretol)
Theoretically, guarana might reduce the effects of carbamazepine and increase the risk for convulsions.
Animal research suggests that taking caffeine can lower the anticonvulsant effects of carbamazepine and can induce seizures when given to animals in doses above 400 mg/kg. Human research has shown that taking caffeine 300 mg in three divided doses along with carbamazepine 200 mg reduces the bioavailability of carbamazepine by 32% and prolongs the plasma half-life of carbamazepine two-fold in healthy individuals.
Cimetidine (Tagamet)
Theoretically, concomitant use might increase the effects and adverse effects of caffeine in guarana.
Guarana contains caffeine. Cimetidine decreases the rate of caffeine clearance by 31% to 42%.
Clozapine (Clozaril)
Theoretically, guarana might increase the levels and adverse effects of clozapine and acutely exacerbate psychotic symptoms.
Guarana contains caffeine. Caffeine can increase the effects and toxicity of clozapine. Caffeine doses of 400-1000 mg per day inhibit clozapine metabolism. Clozapine is metabolized by cytochrome P450 1A2 (CYP1A2). Researchers speculate that caffeine might inhibit CYP1A2. However, there is no reliable evidence that caffeine affects CYP1A2. There is also speculation that genetic factors might make some patients more sensitive to the interaction between clozapine and caffeine.
Dipyridamole (Persantine)
Theoretically, guarana might decrease the vasodilatory effects of dipyridamole and interfere with its use prior to stress testing.
Guarana contains caffeine. Caffeine might inhibit dipyridamole-induced vasodilation. It is recommended that methylxanthines and methylxanthine-containing products be stopped 24 hours prior to pharmacological stress tests. Methylxanthines appear more likely to interfere with dipyridamole than adenosine-induced stress testing.
Disulfiram (Antabuse)
Theoretically, disulfiram might increase the risk of adverse effects from caffeine.
In human research, disulfiram decreases the clearance and increases the half-life of caffeine.
Diuretic Drugs
Theoretically, using guarana with diuretic drugs might increase the risk of hypokalemia.
Guarana contains caffeine. Caffeine, especially in excessive amounts, can reduce potassium levels due to stimulation of the sodium-potassium pump. Diuretics can also lower potassium levels.
Estrogens
Theoretically, estrogens might increase the levels and adverse effects of caffeine.
Guarana contains caffeine. Estrogen inhibits caffeine metabolism.
Ethosuximide (Zarontin)
Theoretically, guarana might reduce the effects of ethosuximide and increase the risk for convulsions.
Guarana contains caffeine. Animal research shows that caffeine 92.4 mg/kg can decrease the anticonvulsant activity of ethosuximide. This effect has not been observed in humans.
Felbamate (Felbatol)
Theoretically, guarana might reduce the effects of felbamate and increase the risk for convulsions.
Guarana contains caffeine. Animal research shows that a high dose of caffeine 161.7 mg/kg can decreases the anticonvulsant activity of felbamate. This effect has not been observed in humans.
Flutamide (Eulexin)
Theoretically, guarana might increase the levels and adverse effects of flutamide.
Guarana contains caffeine. In vitro evidence shows that caffeine can inhibit the metabolism of flutamide. However, this effect has not been reported in humans.
Fluvoxamine (Luvox)
Theoretically, fluvoxamine might increase the levels and adverse effects of caffeine.
Guarana contains caffeine. Fluvoxamine reduces caffeine metabolism.
Lithium
Theoretically, abrupt guarana withdrawal might increase the levels and adverse effects of lithium.
Guarana contains caffeine. Theoretically, abrupt caffeine withdrawal might increase serum lithium levels. There are two case reports of lithium tremor that worsened upon abrupt coffee withdrawal.
Monoamine Oxidase Inhibitors (Maois)
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Guarana contains caffeine. Caffeine has been shown to inhibit MAO-A and -B in laboratory studies. Concomitant intake of large amounts of caffeine with MAOIs might precipitate a hypertensive crisis. In a case report, a patient that consumed 10-12 cups of caffeinated coffee and took the MAOI tranylcypromine presented with severe hypertension. Hypertension was resolved after the patient switched to drinking decaffeinated coffee.
Nicotine
Theoretically, concomitant use might increase the risk of hypertension.
Guarana contains caffeine. Concomitant use of caffeine and nicotine has been shown to have additive cardiovascular effects, including increased heart rate and blood pressure. Blood pressure was increased by 10.8/12.4 mmHg when the agents were used concomitantly.
Pentobarbital (Nembutal)
Theoretically, guarana might decrease the effects of pentobarbital.
Guarana contains caffeine. In vivo evidence suggests that caffeine can negate the hypnotic effects of pentobarbital in humans. However, animal research suggests that guarana does not alter the hypnotic effect of pentobarbital.
Phenobarbital (Luminal)
Theoretically, guarana might reduce the effects of phenobarbital and increase the risk for convulsions.
Guarana contains caffeine. Animal research shows that caffeine can decrease the anticonvulsant activity of phenobarbital. The exact mechanism of this interaction is unclear.
Phenylpropanolamine
Theoretically, phenylpropanolamine might increase the risk of hypertension, as well as the levels and adverse effects of caffeine.
Guarana contains caffeine. Concomitant use of phenylpropanolamine and caffeine might cause an additive increase in blood pressure. Phenylpropanolamine also seems to increase caffeine serum levels.
Phenytoin (Dilantin)
Theoretically, guarana might reduce the effects of phenytoin and increase the risk for convulsions.
Guarana contains caffeine. Animal research shows that caffeine can decrease the anticonvulsant activity of phenytoin. The effect does not seem to be related to the seizure threshold-lowering effects of caffeine. However, the exact mechanism of this interaction is unclear.
Pioglitazone (Actos)
Theoretically, guarana might increase the levels and clinical effects of pioglitazone.
Guarana contains caffeine. Animal research suggests that caffeine can modestly increase the maximum concentration, area under the curve, and half-life of pioglitazone, and also reduce its clearance. This increased the antidiabetic effects of pioglitazone. However, the exact mechanism of this interaction is unclear.
Riluzole (Rilutek)
Theoretically, concomitant use might increase the levels and adverse effects of both caffeine and riluzole.
Guarana contains caffeine. Caffeine and riluzole are both metabolized by cytochrome P450 1A2 (CYP1A2), and concomitant use might reduce the metabolism of one or both agents.
Stimulant Drugs
Theoretically, concomitant use might increase stimulant adverse effects.
Guarana contains caffeine. Due to the central nervous system (CNS) stimulant effects of caffeine, concomitant use with stimulant drugs can increase the risk of adverse effects.
Brand information
Manufacturer and brand details for Guarana Extract, from the product label.
BulkSupplements.com
See all BulkSupplements.com products- Name
- BulkSupplements.com
- Street Address
- 7511 Eastgate Rd
- City
- Henderson
- State
- NV
- ZipCode
- 89011
- Web Address
- BulkSupplements.com
Guarana Extract by BulkSupplements.com: Common Questions
Does Guarana Extract by BulkSupplements.com interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What's in this guarana extract?
Can I take this while pregnant or breastfeeding?
What side effects might I get from guarana?
Does guarana actually boost athletic performance or energy?
Why is the interaction list so long—655 medications?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Guarana Extract 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 Guarana Extract’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Guarana 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.
- 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 114 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.
Guarana 114 references
- McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
- Harder S, Fuhr U, Staib AH, Wolff T. Ciprofloxacin-caffeine: a drug interaction established using in vivo and in vitro investigations. Am J Med 1989;87:89S-91S. PubMed
- Carbo M, Segura J, De la Torre R, et al. Effect of quinolones on caffeine disposition. Clin Pharmacol Ther 1989;45:234-40. PubMed
- Healy DP, Polk RE, Kanawati L, et al. Interaction between oral ciprofloxacin and caffeine in normal volunteers. Antimicrob Agents Chemother 1989;33:474-8. PubMed
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