Noni (Morinda Citrifolia) PE Ingredients & Drug Interactions
by PureBulk.com
What is this page for?
First and foremost: checking Noni (Morinda Citrifolia) PE 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 (Morinda Citrifolia) PE is a dietary supplement by PureBulk.com 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 4:1 extact. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Noni (Morinda Citrifolia) PE by PureBulk.com
Ask about any prescription or over-the-counter medication and we check it for interactions with Noni (Morinda Citrifolia) PE by PureBulk.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
Ask the Pharmacist
A licensed pharmacist will answer your question by email — free, usually within 24 hours.
Got it — thank you!
A licensed pharmacist will answer within 24 hours. Keep an eye on your email (worth checking spam, just in case).
HelloPharmacist Scorecard of Noni (Morinda Citrifolia) PE by PureBulk.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: Noni 4:1 extract, a concentrated form of the noni fruit (Morinda citrifolia). The extract is blended with maltodextrin, an inactive filler used to bulk out the powder.
One active ingredient means the formula is straightforward—all the effects and interactions come from noni alone.
Does it work?
Couldn't assess
We don't have established evidence in our data that noni is effective for the uses it's traditionally claimed to help—asthma, atherosclerosis, athletic performance, burns, cancer, or cardiovascular disease all show insufficient reliable evidence to rate. That doesn't mean noni doesn't work; it means the research isn't solid enough yet to say whether it does.
How safe is it?
Well-documented data
Noni is generally well tolerated when taken orally in moderate amounts, though high-quality safety studies are limited. The most common side effects are abdominal discomfort and nausea.
The serious concern is rare liver damage—noni has been linked to hepatotoxicity and even liver failure in a small number of previously healthy people, though it's unclear whether noni itself or contaminants in some products were responsible. The product facts also note that noni has traditionally been used to cause abortion and should not be used during pregnancy; there isn't enough safety information for breastfeeding either.
Meds to double-check
Moderate interaction found
Before taking this, check with your doctor or pharmacist if you're on blood pressure medications (antihypertensives), potassium-sparing diuretics, ACE inhibitors, ARBs, warfarin, phenytoin, ranitidine, or any drugs that stress the liver. All of these have documented moderate interactions with noni, and some carry risk of serious effects like low blood pressure, high potassium, or reduced medication effectiveness.
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 might appeal to someone looking for a traditional remedy, but its interactions with blood pressure drugs, potassium-regulating medications, seizure drugs, and blood thinners mean it's not a casual add-on. The risk of liver damage, though rare, is also a real consideration.
Talk with your doctor or pharmacist before starting this product, especially if you take any regular medications or have liver concerns.
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 Jun 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 Noni (Morinda Citrifolia) PE, straight from the product label.
| Brand | PureBulk.com |
|---|---|
| Net contents | 100 Gram(s); 3.53 oz. |
| Market status | On market |
| Date entered into DSLD | Jun 25, 2013 |
| DSLD ID | 23195 |
| 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, 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 Noni (Morinda Citrifolia) PE by PureBulk.com, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 5 {Calories} | -- |
| Total Carbohydrates | 1.3 g | 1% |
| Noni 4:1 extact | 1300 mg | -- |
Other ingredients: 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.
General Statements
Derived from Morinda citrifolia fruit
US Standard Measuring Spoons Spoon Size (level) milligrams 1/4 teaspoon 639 1/2 teaspoon 1279 1 teaspoon 2558
Storage
Storage: Keep dry, cool & dark
Formulation
Free of: sugar, soy, dairy, yeast and gluten.
Suggested/Recommended/Usage/Directions
Directions: As a dietary supplement, take 1300 mg (rounded 1/2 tsp) three times a day, or as directed by physician.
Precautions
Warning: This product is not intended for use by those with a serious medical condition or pregnant or lactating women.
Consult your physician before use.
Keep out of reach of children.
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.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Noni (Morinda Citrifolia) PE by PureBulk.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 Noni (Morinda Citrifolia) PE by PureBulk.com
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1300 mg Dosage formPowder Servings per container76 Amounts shown are per serving.
Noni 4:1 extact
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 4:1 extact monograph & interactionsOther (inactive) ingredients: Maltodextrin. These complete the product’s ingredient list but are not active constituents.
Noni (Morinda Citrifolia) PE by PureBulk.com Drug Interactions
HelloPharmacist Interaction Report
Noni (Morinda Citrifolia) PE by PureBulk.com has documented interactions with multiple medication types.
The most serious concern is with blood pressure drugs (antihypertensives): noni may lower your blood pressure further, raising the risk of excessively low blood pressure. It also interacts with potassium-regulating medications—potassium-sparing diuretics, ACE inhibitors, and ARBs—because noni is high in potassium and may push your potassium levels dangerously high.
Read the full breakdown — every affected drug type, severity by severity
Noni may also reduce how well certain seizure and blood-thinning medications work. It can lower phenytoin (Dilantin) levels, potentially increasing seizure risk, and may decrease warfarin (Coumadin) effectiveness by lowering your INR.
Additionally, noni might increase ranitidine (Zantac) levels, raising its effects.
There's also concern about liver damage, especially if you're taking medications that stress the liver—noni itself has been linked to rare but serious liver injury in some users. Altogether, these interactions span 543 individual medications.
Before starting noni, check your exact medications with your doctor or pharmacist using the search tool on this page.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Noni (Morinda Citrifolia) PE?
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 (Morinda Citrifolia) PE interact with 542 drugs. Click any drug to see the details.
1 of the 1 ingredient in Noni (Morinda Citrifolia) PE interact with drugs. Each result below shows which ingredient is responsible. Noni 4:1 extact
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + 6-mercaptopurine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Abacavir, Lamivudine interactionAbiraterone
How Abiraterone interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Abiraterone Acetate interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactAntihypertensive 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 4:1 Extact + Acebutolol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + 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 (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + 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 (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with Noni (Morinda Citrifolia) PE — through 1 ingredient. Tap an ingredient for the detail:
Noni 4:1 ExtactHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni 4:1 Extact + Acetaminophen, Chlorpheniramine, Phenylephrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Noni (Morinda Citrifolia) PE 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 4:1 extact
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 (Morinda Citrifolia) PE, from the product label.
PureBulk.com
See all PureBulk.com products- Name
- PureBulk.com
- City
- Roseburg
- State
- OR
- ZipCode
- 97471
- Phone Number
- (541) 679-1500
- Web Address
- PureBulk.com
Noni (Morinda Citrifolia) PE by PureBulk.com: Common Questions
Does Noni (Morinda Citrifolia) PE by PureBulk.com 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 side effects might I experience?
Does this actually work for what it claims?
Why does this product have so many drug interactions?
What's maltodextrin, and why is it in here?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Noni (Morinda Citrifolia) PE 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 (Morinda Citrifolia) PE’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Noni (Morinda Citrifolia) PE'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.
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