One Per Day Cran-Max 500 mg Cranberry Concentrate Ingredients & Drug Interactions
What is this page for?
First and foremost: checking One Per Day Cran-Max 500 mg Cranberry Concentrate 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
One Per Day Cran-Max 500 mg Cranberry Concentrate is a dietary supplement by Exchange Select X with 1 active ingredient. Its ingredients are commonly taken for urinary tract infection prevention, bladder health, antioxidant support.Based on those ingredients, 712 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Cran-Max(R) Cranberry (Vaccinium macrocarpon) Concentrate. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against One Per Day Cran-Max 500 mg Cranberry Concentrate by Exchange Select X
Ask about any prescription or over-the-counter medication and we check it for interactions with One Per Day Cran-Max 500 mg Cranberry Concentrate by Exchange Select X — 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 One Per Day Cran-Max 500 mg Cranberry Concentrate by Exchange Select X
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
One Per Day Cran-Max 500 mg contains one active ingredient: Cran-Max Cranberry Concentrate from the Vaccinium macrocarpon plant, supplying 500 mg per capsule. The other ingredients — gelatin, water, magnesium stearate, and silicon dioxide — are inactive additives that form and stabilize the capsule.
Does it work?
Moderate evidence
Cranberry is possibly effective for urinary tract infections (UTIs). For other uses listed in the product facts — age-related cognitive decline, benign prostate enlargement (BPH), cancer, fatty liver disease, and chronic fatigue syndrome — the evidence isn't established in the data we hold.
If you're taking this for UTI prevention or treatment, talk with your doctor or pharmacist about whether it fits your situation.
How safe is it?
Well-documented data
Cranberry taken by mouth is generally well tolerated, and cranberry from food is considered likely safe during pregnancy and lactation. The most common side effects are diarrhea and stomach upset.
In clinical trials, some people reported nausea, vomiting, and belly discomfort; very large doses (the equivalent of 3–4 liters of juice daily) can cause more significant gastrointestinal upset, especially in young children. One person reported skin redness and itching.
Concentrated supplement doses like this one haven't been as thoroughly studied as whole cranberry food amounts, so there's less safety data. Before you start, check with your doctor or pharmacist about whether it's right for you.
Meds to double-check
Moderate interaction found
Before taking this product, double-check with your own doctor or pharmacist if you take any of these: cholesterol medications like atorvastatin or other statins (Moderate risk of muscle breakdown and liver problems), blood pressure drugs like nifedipine (Moderate risk of higher drug levels), blood thinners like warfarin (Moderate risk of increased blood thinning), or pain relievers like diclofenac (Minor risk). Cranberry may slow how your liver clears these medications, raising their levels in your blood.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
One Per Day Cran-Max is most useful if you're looking into cranberry for urinary tract infection prevention — where it has some evidence behind it. If you take any prescription medication, especially cholesterol drugs, blood pressure meds, blood thinners, or pain relievers, you'll want to check your exact medications with the tool on this page before starting.
Talk with your own doctor or pharmacist about whether this product is a good fit for you and your health.
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, 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 One Per Day Cran-Max 500 mg Cranberry Concentrate, straight from the product label.
| Brand | Exchange Select X |
|---|---|
| Barcode (UPC) | 614299404601 |
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Aug 23, 2013 |
| DSLD ID | 24890 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten 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 One Per Day Cran-Max 500 mg Cranberry Concentrate by Exchange Select X, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Cran-Max(R) Cranberry (Vaccinium macrocarpon) Concentrate | 500 mg | -- |
Other ingredients: Cran-Max(R) Cranberry concentrate, Gelatin, Water, Magnesium Stearate, Silicon Dioxide
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.
Precautions
SAFETY SEALED. DO NOT USE IF PRINTED SEAL UNDER CAP IS CUT, TORN, OR MISSING.
Keep out of the reach of children.
WARNING: Pregnant or nursing women, individuals taking medication(s) or persons who have a health condition should consult their physician before using this product.
Seals/Symbols
exchange select X(TM)
General Statements
Standardized Herbal Extract
FRESHNESS AND POTENCY GUARANTEED THROUGH:
SATISFACTION GUARANTEED OR YOUR MONEY BACK.
Cranberry has been traditionally used to help maintain urinary tract health and is a natural source of antioxidants.
FDA Statement of Identity
Herbal Supplement
Brand IP Statement(s)
Supports Urinary Tract Health
Cran-Max(R) is a registered trademark of Pharmachem Labs Inc.
(C)2011
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.
Formulation
NO ARTIFICIAL COLORS OR FLAVORS NO LACTOSE NO TRANS FAT NO PRESERVATIVES ADDED NO GLUTEN
Storage
Store at 15(0) - 30 (0) C (59(0) - 86(0) F).
General
134793 518283 USA645079
Suggested/Recommended/Usage/Directions
Directions: Take one capsule daily as a dietary supplement.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
One Per Day Cran-Max 500 mg Cranberry Concentrate by Exchange Select X 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 One Per Day Cran-Max 500 mg Cranberry Concentrate by Exchange Select X
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Amounts shown are per serving.
Cran-Max(R) Cranberry (Vaccinium macrocarpon) Concentrate
Interacts with712 drugs
Cranberry is best known for helping to prevent repeated urinary tract infections (UTIs) in some people, and the evidence here is moderate but mixed. I...
Cran-Max(R) Cranberry (Vaccinium macrocarpon) Concentrate monograph & interactionsOther (inactive) ingredients: Cran-Max(R) Cranberry concentrate, Gelatin, Water, Magnesium Stearate, Silicon Dioxide. These complete the product’s ingredient list but are not active constituents.
One Per Day Cran-Max 500 mg Cranberry Concentrate by Exchange Select X Drug Interactions
HelloPharmacist Interaction Report
One Per Day Cran-Max 500 mg Cranberry Concentrate by Exchange Select X contains cranberry, which interacts with a number of common medications — most notably through its effects on how your liver processes certain drugs.
The most serious concern is with cholesterol-lowering statins like atorvastatin (Lipitor): one case reported muscle breakdown (rhabdomyolysis), severe back pain, and liver problems when a patient combined atorvastatin with high-dose cranberry juice. That's a Moderate-severity interaction, and it matters because your liver's enzyme system (called CYP3A4) processes both cranberry and the statin.
Read the full breakdown — every affected drug type, severity by severity
Cranberry also has Moderate interactions with blood pressure medications like nifedipine (Procardia) — animal studies show cranberry can raise levels of the drug in your bloodstream — and with the blood thinner warfarin (Coumadin), though the evidence here is mixed; some cases report increased blood-thinning effect. Additionally, cranberry may affect other CYP3A4 substrates (a broad category of drugs your liver processes this way) and has a Minor interaction with the pain reliever diclofenac (Voltaren) and other CYP2C9 substrates, though human data on diclofenac is less clear.
Additionally, we could not check interaction data for some ingredients because they may be listed as inactive. Altogether, these interactions span 713 individual medications.
Before you start this product, run your exact medications through the checker below — especially if you take any cholesterol medication, blood pressure drug, blood thinner, or regular pain reliever.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against One Per Day Cran-Max 500 mg Cranberry Concentrate?
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 One Per Day Cran-Max 500 mg Cranberry Concentrate interact with 712 drugs. Click any drug to see the details.
1 of the 1 ingredient in One Per Day Cran-Max 500 mg Cranberry Concentrate interact with drugs. Each result below shows which ingredient is responsible. Cran-Max(R) Cranberry (Vaccinium macrocarpon) Concentrate
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Ado-trastuzumab Emtansine interactionAbemaciclibVerzenio
How Abemaciclib interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Abemaciclib interactionAbiraterone
How Abiraterone interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Abiraterone Acetate interactionAcalabrutinibCalquence
How Acalabrutinib interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acalabrutinib interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + 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 One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Chlorpheniramine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR
How Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylpropanolamineAlumadrine, Conex, Sinadrin Max Strength, Sinulin
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Chlorpheniramine, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, OpiumHista-Derfule
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, PhenyltoloxamineNorel Plus
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Phenyltoloxamine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Phenyltoloxamine interactionAcetaminophen, Chlorpheniramine, PseudoephedrineAlka-Seltzer PLUS Liquid Gels, Children's Tylenol Cold, Codimal, Comtrex, Extra Strength Tylenol Allergy Sinus, Lorsin +3 more
How Acetaminophen, Chlorpheniramine, Pseudoephedrine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Chlorpheniramine, Pseudoephedrine interactionAcetaminophen, DextromethorphanTylenol Cough Ex Strength
How Acetaminophen, Dextromethorphan interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Dextromethorphan interactionAcetaminophen, Dextromethorphan, Doxylamine, PseudoephedrineVicks NyQuil
How Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylephrineConar-A
How Acetaminophen, Dextromethorphan, Guaifenesin, Phenylephrine interacts with One Per Day Cran-Max 500 mg Cranberry Concentrate — through 1 ingredient. Tap an ingredient for the detail:
Cran-max(r) Cranberry (vaccinium Macrocarpon) ConcentrateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cran-max(r) Cranberry (vaccinium Macrocarpon) Concentrate + Acetaminophen, Dextromethorphan, Guaifenesin, Phenylephrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in One Per Day Cran-Max 500 mg Cranberry Concentrate 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.
Cran-Max(R) Cranberry (Vaccinium macrocarpon) Concentrate
Atorvastatin (Lipitor)
Theoretically, cranberry might increase levels and adverse effects of atorvastatin.
In one case report, a patient taking atorvastatin experienced upper back pain, rhabdomyolysis, and abnormal liver function after drinking cranberry juice 16 ounces daily for 2 weeks. Theoretically, this may have been caused by inhibition of cytochrome P450 3A4 (CYP3A4) enzymes by cranberry juice, as atorvastatin is a CYP3A4 substrate. Creatinine kinase and liver enzymes normalized within 2 weeks of stopping cranberry juice. Patients taking atorvastatin should avoid large quantities of cranberry juice.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
A case of upper back pain, rhabdomyolysis, and abnormal liver function has been reported for a patient taking atorvastatin, a CYP3A4 substrate, in combination with cranberry juice 16 ounces daily for 2 weeks. Creatinine kinase and liver enzymes normalized within 2 weeks of stopping cranberry juice. Also, animal research suggests that cranberry juice, administered intraduodenally 30 minutes prior to nifedipine, a CYP3A4 substrate, inhibits nifedipine metabolism and increases the area under the concentration-time curve by 1.6-fold compared to control.
Nifedipine (Procardia)
Theoretically, cranberry might increase the levels and adverse effects of nifedipine.
Animal research suggests that cranberry juice, administered intraduodenally 30 minutes prior to nifedipine treatment, inhibits nifedipine metabolism and increases the area under the concentration-time curve by 1.6-fold compared to control. This interaction has not been reported in humans.
Warfarin (Coumadin)
Theoretically, cranberry might increase the levels and adverse effects of warfarin. However, research is conflicting.
There is contradictory evidence about the effect of cranberry juice on warfarin. Case reports have linked cranberry juice consumption to increases in the international normalized ratio (INR) in patients taking warfarin, resulting in severe spontaneous bleeding and excessive postoperative bleeding. Daily consumption of cranberry sauce for one week has also been linked to an increase in INR in one case report. In a small study in healthy young males, taking a high dose of 3 grams of cranberry juice concentrate capsules, equivalent to 57 grams of fruit daily, for 2 weeks produced a 30% increase in the area under the INR-time curve after a single 25-mg dose of warfarin. However, 3 very small clinical studies in patients stabilized on warfarin reported that cranberry juice 250 mL once or twice daily for 7 days (27% cranberry juice or pure cranberry juice) or 240 mL once daily for 14 days does not significantly increase INR or affect plasma warfarin levels. The reasons for these discrepant findings are unclear. It is possible that the form and dose of cranberry may play a role, as cranberry extracts and juices contain different constituents. Additionally, an in vitro study evaluating 5 different cranberry juices found varying effects, with only a cranberry concentrate, and not diluted cranberry juices, inhibiting CYP2C9. However, this concentrate did not inhibit CYP2C9 activity in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates. However, research is conflicting.
There is contradictory evidence about the effect of cranberry on CYP2C9 enzymes. In vitro evidence suggests that flavonoids in cranberry inhibit CYP2C9 enzymes. However, clinical research shows that cranberry juice does not significantly affect the levels, metabolism, or elimination of the CYP2C9 substrates flurbiprofen or diclofenac. Also, in patients stabilized on warfarin, drinking cranberry juice 250 mL daily for 7 days does not significantly increase the anticoagulant activity of warfarin, a CYP2C9 substrate. Additional pharmacokinetic research shows that cranberry juice does not increase peak plasma concentrations or area under the concentration-time curve of warfarin.
Diclofenac (Voltaren, Others)
Theoretically, cranberry might modestly increase the levels and adverse effects of diclofenac.
In vitro evidence suggests that cranberry juice inhibits diclofenac metabolism by human liver microsomes. However, drinking cranberry juice does not seem to affect diclofenac metabolism in humans.
Brand information
Manufacturer and brand details for One Per Day Cran-Max 500 mg Cranberry Concentrate, from the product label.
One Per Day Cran-Max 500 mg Cranberry Concentrate by Exchange Select X: Common Questions
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The Full Monographs Behind One Per Day Cran-Max 500 mg Cranberry Concentrate’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
One Per Day Cran-Max 500 mg Cranberry Concentrate'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 33 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.
Cranberry 33 references
- Anon. Possible interaction between warfarin and cranberry juice. Current Problems in Pharmacovigilance 2003;29:8. PubMed
- Greenblatt DJ, von Moltke LL, Perloff ES, et al. Interaction of flurbiprofen with cranberry juice, grape juice, tea, and fluconazole: in vitro and clinical studies. Clin Pharmacol Ther 2006;79:125-33. PubMed
- Hodek P, Trefil P, Stiborova M. Flavonoids-potent and versatile biologically active compounds interacting with cytochromes P450. Chem Biol Interact 2002;139:1-21.. PubMed
- Grant P. Warfarin and cranberry juice: An interaction? J Heart Valve Dis 2004;13:25-6.
- Suvarna R, Pirmohamed M, Henderson L. Possible interaction between warfarin and cranberry juice. BMJ 2003;327:1454. PubMed
- Li Z, Seeram NP, Carpenter CL, et al. Cranberry does not affect prothrombin time in male subjects on warfarin. J Am Diet Assoc 2006;106:2057-61. PubMed
- Lilja JJ, Backman JT, Neuvonen PJ. Effects of daily ingestion of cranberry juice on the pharmacokinetics of warfarin, tizanidine, and midazolam - probes of CYP2C9, CYP1A2 and CYP3A4. Clin Pharmacol The 2007:81:833-9. PubMed
- Wing DA, Rumney PJ, Preslicka CW, Chung JH. Daily cranberry juice for the prevention of asymptomatic bacteriuria in pregnancy: a randomized, controlled pilot study. J Urol 2008;180:1367-72. PubMed
- Mohammed Abdul MI, Jiang X, Williams KM, et al. Pharmacodynamic interaction of warfarin with cranberry but not with garlic in healthy subjects. Br J Pharmacol 2008;154:1691-700. PubMed
- McMurdo MET, Argo I, Phillips G, et al. Cranberry or trimethoprim for the prevention of recurrently urinary tract infections? A randomized controlled trial in older women. J Antimicrob Chemother 2009;63:389-95.
- Mergenhagen KA, Sherman O. Elevated International Normalized Ratio after concurrent ingestion of cranberry sauce and warfarin. Am J Health-Syst Pharm 2008;65:2113-6. PubMed
- Ansell J, McDonough M, Zhao Y, et al. The absence of an interaction between warfarin and cranberry juice: a randomized, double-blind trial. J Clin Pharmacol 2009;49:824-30. PubMed
- Haber SL, Cauthon KA, Raney EC. Cranberry and warfarin interaction: a case report and review of the literature. Consult Pharm 2012;27:58-65. PubMed
- Hamann GL, Campbell JD, George CM. Warfarin-cranberry juice interaction. Ann Pharmacother 2011;45:e17. PubMed
- Roberts D, Flanagan P. Case report: Cranberry juice and warfarin. Home Healthc Nurse 2011;29:92-7.
- Garcia-Calatayud, S., Larreina Cordoba, J. J., and Lozano De La Torre MJ. [Severe cranberry juice poisoning]. An.Esp.Pediatr. 2002;56(1):72-73.
- Patel, D. A., Gillespie, B., Sobel, J. D., Leaman, D., Nyirjesy, P., Weitz, M. V., and Foxman, B. Risk factors for recurrent vulvovaginal candidiasis in women receiving maintenance antifungal therapy: results of a prospective cohort study. Am J Obstet.Gy PubMed
- Isele, H. [Fatal bleeding under warfarin plus cranberry juice. Is it due to salicylic acid?]. MMW.Fortschr.Med 3-11-2004;146(11):13.
- Linsenmeyer, T. A., Harrison, B., Oakley, A., Kirshblum, S., Stock, J. A., and Millis, S. R. Evaluation of cranberry supplement for reduction of urinary tract infections in individuals with neurogenic bladders secondary to spinal cord injury. A prospecti
- McMurdo, M. E., Bissett, L. Y., Price, R. J., Phillips, G., and Crombie, I. K. Does ingestion of cranberry juice reduce symptomatic urinary tract infections in older people in hospital? A double-blind, placebo-controlled trial. Age Ageing 2005;34(3):256- PubMed
- Sylvan, L. and Justice, N. P. Possible interaction between warfarin and cranberry juice. Am Fam.Physician 9-15-2005;72(6):1000.
- Niklasson, A. and Andren, L. [Interaction between Waran and cranberry juice]. Lakartidningen 3-15-2006;103(11):853-854.
- Rindone, J. P. and Murphy, T. W. Warfarin-cranberry juice interaction resulting in profound hypoprothrombinemia and bleeding. Am J Ther 2006;13(3):283-284. PubMed
- Uesawa, Y. and Mohri, K. Effects of cranberry juice on nifedipine pharmacokinetics in rats. J Pharm Pharmacol 2006;58(8):1067-1072. PubMed
- Valentova, K., Stejskal, D., Bednar, P., Vostalova, J., Cihalik, C., Vecerova, R., Koukalova, D., Kolar, M., Reichenbach, R., Sknouril, L., Ulrichova, J., and Simanek, V. Biosafety, antioxidant status, and metabolites in urine after consumption of dried
- Royer, D. J., George, J. N., and Terrell, D. R. Thrombocytopenia as an adverse effect of complementary and alternative medicines, herbal remedies, nutritional supplements, foods, and beverages. Eur J Haematol 2010;84(5):421-429. PubMed
- Stapleton, A. E., Dziura, J., Hooton, T. M., Cox, M. E., Yarova-Yarovaya, Y., Chen, S., and Gupta, K. Recurrent urinary tract infection and urinary Escherichia coli in women ingesting cranberry juice daily: a randomized controlled trial. Mayo.Clin.Proc. PubMed
- Doad GJ, Kabange W. Cranberry juice, atorvastatin and back pain. J Med Assoc Ga 2014;103(1):14.
- Griffiths AP, Beddall A, Pegler S. Fatal haemopericardium and gastrointestinal haemorrhage due to possible interaction of cranberry juice with warfarin. J R Soc Promot Health 2008;128(6):324-6. PubMed
- Mellen CK, Ford M, Rindone JP. Effect of high-dose cranberry juice on the pharmacodynamics of warfarin in patients. Br J Clin Pharmacol 2010;70(1):139-42. PubMed
- Ushijima K, Tsuruoka S, Tsuda H, Hasegawa G, Obi Y, Kaneda T, Takahashi M, Maekawa T, Sasaki T, Koshimizu TA, Fujimura A. Cranberry juice suppressed the diclofenac metabolism by human liver microsomes, but not in healthy human subjects. Br J Clin Pharmaco PubMed
- Ngo N, Brantley SJ, Carrizosa DR, et al. The warfarin-cranberry juice interaction revisited: A systematic in vitro-in vivo evaluation. J Exp Pharmacol. 2010;2010(2):83-91.
- Williams G, Stothart CI, Hahn D, Stephens JH, Craig JC, Hodson EM. Cranberries for preventing urinary tract infections. Cochrane Database Syst Rev 2023;11(11):CD001321. PubMed
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
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