Noni 5:1 Extract 400 mg Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Noni 5:1 Extract 400 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
Noni 5:1 Extract 400 mg is a dietary supplement by Health Ranger Select with 1 active ingredient. Its ingredients are commonly taken for general wellness and energy, inflammation and joint pain, immune support.Based on those ingredients, 542 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Noni, Powder. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Noni 5:1 Extract 400 mg by Health Ranger Select
Ask about any prescription or over-the-counter medication and we check it for interactions with Noni 5:1 Extract 400 mg by Health Ranger Select — 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 Noni 5:1 Extract 400 mg by Health Ranger Select
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: noni powder, an extract concentrated 5 to 1 (meaning five parts of the original fruit were reduced to make one part of extract), delivering 400 mg per capsule. The capsule itself is made from pullulan, rice fiber, and tapioca maltodextrin, which are inactive ingredients that help form and fill the capsule.
Does it work?
Couldn't assess
The evidence we hold doesn't establish that noni is effective for asthma, atherosclerosis, athletic performance, burns, cancer, or cardiovascular disease—the data shows insufficient reliable evidence to rate it for any of these uses. If you're considering noni for a specific health goal, talk with your doctor about whether the available evidence supports it for your situation.
How safe is it?
Well-documented data
Noni is generally well tolerated in moderate amounts, but there are two notable concerns. Rare cases of liver injury, including liver failure, have been reported in patients taking noni products, though it's unclear whether noni itself or contaminants in the products were responsible.
The most common side effects are abdominal discomfort and nausea. Noni has been traditionally used to cause abortion, so it should not be used during pregnancy.
There isn't enough safety information available for breastfeeding—talk with your doctor or pharmacist for personalized advice if you're pregnant or nursing.
Meds to double-check
Moderate interaction found
Check before taking this product if you use blood pressure medications (antihypertensives), potassium-sparing diuretics, ACE inhibitors, angiotensin receptor blockers (ARBs), blood thinners like warfarin, anti-seizure drugs like phenytoin, medications that can damage the liver (hepatotoxic drugs), or acid reflux medications like ranitidine. Ask your doctor or pharmacist to review your specific medications for interactions.
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.
Noni extract may be worth considering if you're interested in traditional botanical support, but it's not established as effective for the common uses listed in our data. The bigger issue is that it interacts with numerous medications—particularly blood pressure drugs, blood thinners, anti-seizure meds, and potassium-affecting drugs—and carries a rare but serious risk of liver damage.
Before you start, check your medications with the tool on this page and talk with your doctor or pharmacist, especially if you take heart or blood pressure medication.
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 18, 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 Noni 5:1 Extract 400 mg, straight from the product label.
| Brand | Health Ranger Select |
|---|---|
| Barcode (UPC) | 050742584894 |
| Net contents | 100 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Jul 18, 2023 |
| DSLD ID | 292787 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, 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 Noni 5:1 Extract 400 mg by Health Ranger Select, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Noni, Powder | 360 mg | -- |
Other ingredients: Pullulan, Rice Fiber, Tapioca Maltodextrin
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
Health Ranger Select Noni 5:1 Extract Capsules One of nature's most robust superfoods noni supports overall health through its unique composition of phytonutrients. Derived from the Mornda citrifolia plant, Health Ranger Select Noni 5:1 Extract provide these incredible nutrients in a convenient capsule form without the bitter flavor of the raw fruit. Our noni extract capsules are vegan, non-GMO, non-China, Kosher and made with organic ingredients. They contain no gluten and are meticulously lab tested for glyphosate, heavy metals and microbiology.
Our noni extract capsules are vegan, non-GMO, non-China, Kosher and made with organic ingredients.
Formulation
Our noni extract capsules are vegan, non-GMO, non-China, Kosher and made with organic ingredients. They contain no gluten and are meticulously lab tested for glyphosate, heavy metals and microbiology.
Our noni extract capsules are vegan, non-GMO, non-China, Kosher and made with organic ingredients.
Our noni extract capsules are vegan, non-GMO, non-China, Kosher and made with organic ingredients.
Gluten Free China Free
Vegan
Certified Organic by Natural Food Certifiers, Inc.
Seals/Symbols
GMO Guard Natural Food Certifiers K Natural Food Certifiers Laboratory Verified
Glyphosate Tested
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.
Precautions
If pregnant or under a doctor's care, consult your physician before using this product.
Do not use if the safety seal is broken.
Keep out of reach of children.
Manufactured in a facility which may contain nuts (peanuts, tree nuts).
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Noni 5:1 Extract 400 mg by Health Ranger Select 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 Noni 5:1 Extract 400 mg by Health Ranger Select
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 container100 Amounts shown are per serving.
Noni, Powder
Interacts with542 drugs
Noni is a tropical fruit used widely in folk medicine and sold mostly as a juice or supplement, but solid human evidence for its many claimed benefits...
Noni, Powder monograph & interactionsOther (inactive) ingredients: Pullulan, Rice Fiber, Tapioca Maltodextrin. These complete the product’s ingredient list but are not active constituents.
Noni 5:1 Extract 400 mg by Health Ranger Select Drug Interactions
HelloPharmacist Interaction Report
Noni 5:1 Extract by Health Ranger Select interacts with several medication types through its potassium content and other compounds.
The most serious concerns involve blood pressure drugs, liver-damaging medications, potassium-sparing diuretics, ACE inhibitors, and angiotensin receptor blockers (ARBs)—all Moderate severity. Noni may lower blood pressure further when combined with blood pressure medications, and its high potassium content can dangerously raise potassium levels when paired with potassium-sparing diuretics, ACE inhibitors, or ARBs.
Read the full breakdown — every affected drug type, severity by severity
Noni also carries Moderate risk with hepatotoxic drugs (medications that can damage the liver) because noni itself may pose liver injury risk. Additionally, it may reduce the effectiveness of warfarin (a blood thinner) and phenytoin (an anti-seizure medication) in separate case reports.
There is also a Minor interaction: noni may increase ranitidine (an acid reflux medication) levels in your bloodstream.
Altogether, these interactions span 543 individual medications. Before starting this product, run your exact medications through the interaction checker on this page, and talk with your doctor or pharmacist if you take any blood pressure med, potassium-sparing diuretic, ACE inhibitor, ARB, blood thinner, anti-seizure drug, or liver-affecting medication.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Noni 5:1 Extract 400 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 Noni 5:1 Extract 400 mg interact with 542 drugs. Click any drug to see the details.
1 of the 1 ingredient in Noni 5:1 Extract 400 mg interact with drugs. Each result below shows which ingredient is responsible. Noni, Powder
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + 6-mercaptopurine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Abacavir, Lamivudine interactionAbiraterone
How Abiraterone interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Abiraterone Acetate interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderAntihypertensive Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, noni may increase the risk of hypotension when used in combination with antihypertensive drugs.
Read the full Noni, Powder + Acebutolol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + 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 Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with Noni 5:1 Extract 400 mg — through 1 ingredient. Tap an ingredient for the detail:
Noni, PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni, Powder + Acetaminophen, Chlorpheniramine, Phenylephrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Noni 5:1 Extract 400 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.
Noni, Powder
Ace Inhibitors (Aceis)
Theoretically, combining noni and ACE inhibitors might increase the risk of hyperkalemia.
Noni juice contains significant amounts of potassium, about 6 mEq/100 mL juice. This may increase the risk for hyperkalemia when used in conjunction with ACE inhibitors, which can also increase potassium levels.
Angiotensin Receptor Blockers (Arbs)
Theoretically, combining noni and ARBs might increase the risk of hyperkalemia.
Noni juice contains significant amounts of potassium, about 6 mEq/100 mL juice. This may increase the risk for hyperkalemia when used in conjunction with ARBs, which can also increase potassium levels.
Antihypertensive Drugs
Theoretically, noni may increase the risk of hypotension when used in combination with antihypertensive drugs.
Preliminary clinical research suggests that drinking noni juice can reduce blood pressure in individuals with hypertension.
Hepatotoxic Drugs
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
There is concern that noni might cause hepatotoxicity in some patients. Advise patients against combining noni with potentially hepatotoxic drugs.
Phenytoin (Dilantin)
Theoretically, taking noni fruit juice concomitantly with phenytoin may lower phenytoin levels and increase the risk of seizures.
In one case report, an adult taking phenytoin for partial seizures experienced low serum phenytoin levels while taking noni juice 90-200 mL daily. Serum phenytoin levels increased after decreasing noni juice consumption; similarly, serum phenytoin levels decreased after increasing noni juice consumption. Some researchers believe noni juice may induce cytochrome P450 2C9 enzymes, which would decrease phenytoin levels, but this has not been well studied. Patients may need additional monitoring when starting or stopping noni juice supplementation.
Potassium-Sparing Diuretics
Theoretically, combing noni and a potassium-sparing diuretic might increase the risk of hyperkalemia.
Noni juice contains significant amounts of potassium, about 6 mEq/100 mL juice. This may increase the risk for hyperkalemia when used in conjunction with potassium-sparing diuretics, which can also increase potassium levels.
Warfarin (Coumadin)
Theoretically, taking noni juice concomitantly with warfarin might decrease the effectiveness of warfarin.
In one case, a 41-year-old patient stabilized on warfarin had a decreased international normalized ratio (INR) following consumption of a specific commercial noni juice product (Noni juice 4 Everything). While the patient was still taking noni juice, an increase in warfarin dose did not produce an increase in INR. However, it should be noted that this particular product contained extracts and derivatives from more than 115 components, many of which contained vitamin K. Furthermore, vitamin K was listed as a separate ingredient of the product, suggesting that the product was possibly fortified with vitamin K. It has not been verified that noni fruit alone contains a significant amount of vitamin K or interacts with warfarin.
Ranitidine (Zantac)
Taking noni fruit with ranitidine might increase the levels and clinical effects of ranitidine.
Clinical evidence shows that taking an aqueous extract of noni fruit 30 minutes prior to taking a single oral dose of ranitidine can increase the rate of absorption and plasma concentration of ranitidine.
Brand information
Manufacturer and brand details for Noni 5:1 Extract 400 mg, from the product label.
Health Ranger Select
See all Health Ranger Select products- Name
- Health Ranger Store
- Street Address
- 3820 Central Ave. #109
- City
- Cheyenne
- State
- WY
- ZipCode
- 82001
- Phone Number
- 1-888-959-6415
- Web Address
- healthrangerstore.com
Noni 5:1 Extract 400 mg by Health Ranger Select: Common Questions
Does Noni 5:1 Extract 400 mg by Health Ranger Select interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take noni if I'm pregnant or breastfeeding?
What are the most common side effects?
I've heard noni can damage the liver. Is that true?
Does noni work for asthma, cancer, or heart disease?
Why can't I take noni with my blood pressure medication?
What's in this capsule besides the noni?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Noni 5:1 Extract 400 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 Noni 5:1 Extract 400 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Noni 5:1 Extract 400 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 16 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.
Noni 16 references
- Mueller BA, Scott MK, Sowinski KM, Prag KA. Noni juice (Morinda citrifolia): hidden potential for hyperkalemia? Am J Kidney Dis 2000;35:310-2. PubMed
- Millonig G, Stadlmann S, Vogel W. Herbal hepatotoxicity: acute hepatitis caused by a Noni preparation (Morinda citrifolia). Eur J Gastroenterol Hepatol 2005;17:445-7. PubMed
- Stadlbauer V, Fickert P, Lackner C, et al. Hepatotoxicity of NONI juice: report of two cases. World J Gastroenterol 2005;11:4758-60. PubMed
- Carr ME, Klotz J, Bergeron M. Coumadin resistance and the vitamin supplement "Noni". Am J Hematol 2004;77:103. PubMed
- Jensen CJ, Westendorf J, Wang MY, Wadsworth DP. Noni juice protects the liver. Eur J Gastroenterol Hepatol 2006;18:575-7. PubMed
- Yuce B, Gulberg V, Diebold J, Gerbes AL. Hepatitis induced by noni juice from morinda citrifolia: a rare cause of hepatotoxicity or the tip of the iceberg? Digestion 2006;73:167-70.
- Koch E, Biber A. Treatment of rats with the Pelargonium sidoides extract EPs 7630 has no effect on blood coagulation parameters or on the pharmacokinetics of warfarin. Phytomedicine 2007;14 Suppl 6:40-5. PubMed
- Yu EL, Sivagnanam M, Ellis L, Huang JS. Acute hepatotoxicity after ingestion of Morinda citrifolia (noni berry) juice in a 14-year-old boy. J Pediatr Gastroenterol Nutr 2011;52:222-4.
- Stadlbauer V, Weiss S, Payer F, Stauber RE. Herbal does not at all mean innocuous: the sixth case of hepatotoxicity associated with morinda citrifolia (noni). Am J Gastroenterol 2008;103:2406-7. PubMed
- López-Cepero Andrada JM, Lerma Castilla S, Fernández Olvera MD, Amaya Vidal A. [Hepatotoxicity caused by a noni (Morinda citrifolia) preparation]. [Article in Spanish] Rev Esp Enferm Dig 2007;99:179-81.
- Nima S, Kasiwong S, Ridtitid W, et al. Gastrokinetic activity of Morinda citrifolia aqueous fruit extract and its possible mechanism of action in human and rat models. J Ethnopharmacol. 2012;142(2):354-61. PubMed
- Issell, B. F., Gotay, C. C., Pagano, I., and Franke, A. A. Using quality of life measures in a Phase I clinical trial of noni in patients with advanced cancer to select a Phase II dose. J.Diet.Suppl 2009;6(4):347-359. PubMed
- Palu AK, Santiago RA West B Kaluhiokalani N Jensen J. The Effects of Morillda citrifolia L. Noni on High Blood Pressure: A Mechanistic Investigation and Case Study. ACS SYMPOSIUM SERIES 993 2008;
- Jiménez-Encarnación E, Ríos G, Muñoz-Mirabal A, Vilá LM. Euforia-induced acute hepatitis in a patient with scleroderma. BMJ Case Rep 2012;2012. PubMed
- Bussmann RW, Hennig L, Giannis A, Ortwein J, Kutchan TM, Feng X. Anthraquinone Content in Noni (Morinda citrifolia L.). Evid Based Complement Alternat Med. 2013;2013:208378.
- Yu-Chan Kang, Ming-Hong Chen, Shung-Lon Lai. Potentially Unsafe Herb-drug Interactions Between a Commercial Product of Noni Juice and Phenytoin- A Case Report. Acta Neurol Taiwan. 2015 Jun;24(2):43-6.
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