Pomegranate Extract Ingredients & Drug Interactions
by Herbadiet
What is this page for?
First and foremost: checking Pomegranate Extract against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Pomegranate Extract is a dietary supplement by Herbadiet with 1 active ingredient. Its ingredients are commonly taken for heart and blood vessel health, antioxidant support, high blood pressure.Based on those ingredients, 922 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Pomegranate Fruit Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Pomegranate Extract by Herbadiet
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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 Pomegranate Extract by Herbadiet
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
Herbadiet Pomegranate Extract is a single-ingredient supplement: pomegranate fruit extract in a vegetable cellulose capsule. The extract delivers the active compounds found in pomegranate fruit—primarily polyphenols and ellagic acid—in concentrated form.
Does it work?
Moderate evidence
The evidence for pomegranate extract shows a mixed picture. It's rated Possibly Effective for high blood pressure (hypertension), supported by research showing that pomegranate juice can modestly lower blood pressure.
However, it's rated Possibly Ineffective for high cholesterol (hyperlipidemia) and blood sugar control (diabetes). For nonalcoholic fatty liver disease, we don't have enough reliable evidence to rate its effectiveness.
How safe is it?
Well-documented data
Pomegranate fruit and juice are generally well tolerated as food. The fruit extract used in supplements also appears well tolerated.
However, safety data for concentrated supplements is more limited than for food amounts, so caution is warranted—avoid the root, stem, and peel, especially in large quantities. The most common side effects are mild and gastrointestinal: diarrhea and flatulence occur in a small percentage of people taking the juice (around 2% in one study), and higher-dose extracts (3,000 mg daily) caused diarrhea in about 10% of trial participants, with nausea, abdominal pain, constipation, and vomiting in smaller numbers.
Pomegranate is rated Possibly Safe in pregnancy and lactation, though you should discuss use with your doctor or pharmacist if you're pregnant or nursing.
Meds to double-check
Moderate interaction found
Before taking Herbadiet Pomegranate Extract, check with your doctor or pharmacist if you're on blood pressure medications (especially ACE inhibitors), warfarin or other blood thinners, rosuvastatin, carbamazepine, or any medication processed by your liver's CYP2D6, CYP2C9, or CYP3A4 enzyme systems. Pomegranate theoretically raises levels of many of these drugs, which could increase side effects or bleeding risk.
Use the interaction checker on this page to look up your specific medications.
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.
Pomegranate extract may help with blood pressure control, but it interacts with several important medication classes—especially blood thinners, blood pressure drugs, and cholesterol medications. If you take any regular prescription medications, check them against the interaction tool on this page or ask your pharmacist before you start.
It's generally well tolerated by mouth, though some people experience mild digestive upset.
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 Dec 18, 2021.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Pomegranate Extract, straight from the product label.
| Brand | Herbadiet |
|---|---|
| Barcode (UPC) | 880314130712 |
| Net contents | 60 V-Cap(s) |
| Market status | On market |
| Date entered into DSLD | Dec 18, 2021 |
| DSLD ID | 258053 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | 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 Pomegranate Extract by Herbadiet, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Pomegranate Fruit Extract | 200 mg | -- |
Other ingredients: Vegetable Cellulose Shell
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
Herbadiet Pomegranate is a high potency 40% standardized extract. This full spectrum extract retains all the active constituents in nature intended balanced ratio. Encapsulating this goodness in our quick release, easy to swallow vegan capsules, guarantees you a premium quality nutritional supplement.
Formulation
Boosts immune system Lowers cholesterol levels Rich in vitamins & minerals
Natural color variation may occur in this product
100% natural Supports cardiovascular health
Non-GMO
Suitable for vegetarians and vegans
Free of preservatives, binders, gluten, artificial ingredients, dairy, soy, wheat, yeast
Every batch 3rd party lab tested
FDA Disclaimer Statement
These statements have not been evaluated by FDA. This product is not intended to diagnose, treat, cure or prevent any disease.
Precautions
Do not use if seal under the cap is broken or missing. Dietary supplement shouldn't be used as a substitute for a varied diet
Caution: If you are pregnant, breast feeding, or taking medications, consult your doctor before use.
Discontinue use and consult your doctor if any adverse reactions occur.
Keep out of reach of children.
Not for medicinal use
Storage
Store in cool, dry place
Seals/Symbols
fssai Lic. No.: 20817018000147 Vcaps Plus GMP Good Manufacturing Practice Quality Product
Vegan
General Statements
1% for the planet
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Directions for Use: Take 1 capsule twice a day, preferably with meals or as directed by your physician.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Pomegranate Extract by Herbadiet 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 Pomegranate Extract by Herbadiet
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 container60 Amounts shown are per serving.
Pomegranate Fruit Extract
Interacts with922 drugs
Pomegranate is a nutrient-rich fruit that is high in antioxidants and is widely enjoyed as food and juice. Early research suggests it may support hear...
Pomegranate Fruit Extract monograph & interactionsOther (inactive) ingredients: Vegetable Cellulose Shell. These complete the product’s ingredient list but are not active constituents.
Pomegranate Extract by Herbadiet Drug Interactions
HelloPharmacist Interaction Report
Herbadiet Pomegranate Extract contains pomegranate fruit extract, which interacts with several medication types.
The most serious concern is with blood pressure medications (antihypertensive drugs and ACE inhibitors), where pomegranate may theoretically increase the risk of low blood pressure (hypotension) or other adverse effects; pomegranate juice itself can modestly lower blood pressure. There's also a Moderate-severity risk with warfarin (a blood thinner), where pomegranate might raise drug levels and increase bleeding risk—and stopping pomegranate after regular use could drop warfarin levels back down.
Read the full breakdown — every affected drug type, severity by severity
Additionally, pomegranate may affect how your body processes several other medication groups. It can theoretically increase blood levels of drugs broken down by your liver's CYP2D6 enzyme system (a broad group used for many medications), and similarly for CYP2C9 and CYP3A4 substrates, though the clinical significance of the CYP3A4 interaction is considered unlikely to matter much in practice.
Rosuvastatin (a cholesterol drug) carries a Moderate-severity flag: one patient on rosuvastatin with ezetimibe developed severe muscle breakdown (rhabdomyolysis) after drinking pomegranate juice, though that patient had other risk factors. Carbamazepine (an anticonvulsant) may also see increased levels, though again this is thought unlikely to be clinically significant.
Additionally, pomegranate extract also inhibits your intestinal CYP2C9 enzyme in lab studies, rated Minor severity. Altogether, these interactions span 923 individual medications.
If you take any prescription medication—especially blood pressure drugs, warfarin, rosuvastatin, carbamazepine, or drugs processed through CYP2D6—run it through the interaction checker on this page or speak with your own pharmacist or doctor before starting this supplement.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Pomegranate Extract?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Pomegranate Extract interact with 922 drugs. Click any drug to see the details.
1 of the 1 ingredient in Pomegranate Extract interact with drugs. Each result below shows which ingredient is responsible. Pomegranate Fruit Extract
Aspirin, Codeine Phosphate, MethocarbamolRobaxisal C
How Aspirin, Codeine Phosphate, Methocarbamol interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate Fruit Extract + Aspirin, Codeine Phosphate, Methocarbamol interactionAspirin, Codeine Phosphate, PhenobarbitalPhenaphen
How Aspirin, Codeine Phosphate, Phenobarbital interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate Fruit Extract + Aspirin, Codeine Phosphate, Phenobarbital interactionAspirin, HydrocodoneAlor 5 500, Lortab ASA
How Aspirin, Hydrocodone interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate Fruit Extract + Aspirin, Hydrocodone interactionAspirin, OxycodonePercodan
How Aspirin, Oxycodone interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate Fruit Extract + Aspirin, Oxycodone interactionAtenololAtenix, Tenormin
How Atenolol interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Atenolol interactionAtenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic
How Atenolol, Chlortalidone interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Atenolol, Chlortalidone interactionAtenolol, ChlorthalidoneTenoretic
How Atenolol, Chlorthalidone interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Atenolol, Chlorthalidone interactionAtomoxetineStrattera
How Atomoxetine interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate Fruit Extract + Atomoxetine interactionAtropine, MeperidineAtropine, Meperidine
How Atropine, Meperidine interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate Fruit Extract + Atropine, Meperidine interactionAtropine, Morphine SulfateAtropine, Morphine Sulfate
How Atropine, Morphine Sulfate interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate Fruit Extract + Atropine, Morphine Sulfate interactionAzilsartanEdarbi
How Azilsartan interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2C9.
Read the full Pomegranate Fruit Extract + Azilsartan interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Azilsartan, Chlorthalidone interactionBenazeprilLotensin
How Benazepril interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAce Inhibitors (aceis), Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking pomegranate with ACEIs might increase the risk of adverse effects.
Read the full Pomegranate Fruit Extract + Benazepril interactionBenazepril, HydrochlorothiazideLotensin HCT
How Benazepril, Hydrochlorothiazide interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs, Ace Inhibitors (aceis) Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Benazepril, Hydrochlorothiazide interactionBendroflumethiazideAprinox, Naturetin, Neo-NaClex
How Bendroflumethiazide interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Bendroflumethiazide interactionBendroflumethiazide, NadololCorzide
How Bendroflumethiazide, Nadolol interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Bendroflumethiazide, Nadolol interactionBendroflumethiazide, Rauwolfia SerpentinaRauzide
How Bendroflumethiazide, Rauwolfia Serpentina interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Bendroflumethiazide, Rauwolfia Serpentina interactionBenzhydrocodone, AcetaminophenApadaz
How Benzhydrocodone, Acetaminophen interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate Fruit Extract + Benzhydrocodone, Acetaminophen interactionBenzthiazideExna
How Benzthiazide interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Benzthiazide interactionBetaxololBetoptic, Kerlone
How Betaxolol interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Betaxolol interactionBisoprololZebeta
How Bisoprolol interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Bisoprolol interactionBisoprolol, HydrochlorothiazideZiac
How Bisoprolol, Hydrochlorothiazide interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Bisoprolol, Hydrochlorothiazide interactionBosentanTracleer
How Bosentan interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Antihypertensive Drugs +1 Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate Fruit Extract + Bosentan interactionBrexpiprazoleRexulti
How Brexpiprazole interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate Fruit Extract + Brexpiprazole interactionBrompheniramine, Dextromethorphan, PhenylephrineDimetapp DM
How Brompheniramine, Dextromethorphan, Phenylephrine interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate Fruit Extract + Brompheniramine, Dextromethorphan, Phenylephrine interactionBudesonide, FormoterolSymbicort
How Budesonide, Formoterol interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate Fruit Extract + Budesonide, Formoterol interactionBumetanideBurinex
How Bumetanide interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Bumetanide interactionBumetanide (iv)Bumex
How Bumetanide (iv) interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Bumetanide (iv) interactionBumetanide (oral)Bumex
How Bumetanide (oral) interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate Fruit Extract + Bumetanide (oral) interactionBuproprion, DextromethorphanAuvelity
How Buproprion, Dextromethorphan interacts with Pomegranate Extract — through 1 ingredient. Tap an ingredient for the detail:
Pomegranate Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate Fruit Extract + Buproprion, Dextromethorphan interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Pomegranate Extract with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Pomegranate Fruit Extract
Ace Inhibitors (Aceis)
Theoretically, taking pomegranate with ACEIs might increase the risk of adverse effects.
Pomegranate juice is thought to have ACE inhibitor-like effects.
Antihypertensive Drugs
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Consuming pomegranate juice can modestly lower blood pressure.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
In vitro, pomegranate juice inhibits CYP2D6. However, the clinical significance of this potential interaction in humans is not known.
Rosuvastatin (Crestor)
Theoretically, taking pomegranate with rosuvastatin might increase the risk of adverse effects.
In one case, a patient taking rosuvastatin 5 mg every other day in combination with ezetimibe 10 mg daily developed rhabdomyolysis after drinking pomegranate juice 200 mL twice weekly for 3 weeks. This patient had a history of elevated creatine kinase levels while not receiving any statin treatment. This suggests a possible underlying myopathy and predisposition to rhabdomyolysis.
Warfarin (Coumadin)
Theoretically, pomegranate might increase warfarin levels and increase the risk of bleeding. Also, discontinuing regular consumption of pomegranate juice might decrease warfarin levels.
In one case report, a patient had a stable, therapeutic bleeding time, as measured by international normalized ratio (INR), while taking warfarin in combination with pomegranate juice 2-3 times per week. The patient became subtherapeutic within about 10 days after discontinuing pomegranate juice, which required a warfarin dose increase. In another case report, a patient with a stable INR for over one year presented with an INR of 14. The patient noted no changes to medications or diet but did report consuming around 3 liters of pomegranate juice over the previous week. The patient's INR stabilized upon moderation of pomegranate juice consumption. The mechanism of this potential interaction is unclear.
Carbamazepine (Tegretol)
Theoretically, taking pomegranate with carbamazepine might increase the risk of adverse effects, although research suggests this interaction is unlikely to be clinically significant.
Animal research shows that pomegranate juice may inhibit cytochrome P450 3A4 (CYP3A4) metabolism of carbamazepine and increase levels of carbamazepine by 1.5 times without prolonging the elimination half-life. This suggests that pomegranate juice inhibits intestinal CYP3A4, but might not inhibit hepatic CYP3A4. However, some human research suggests that pomegranate does not significantly inhibit CYP3A4 drug metabolism in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2C9.
Some animal and in vitro research shows that pomegranate juice inhibits intestinal, but not hepatic, CYP2C9 isoenzyme activity. However, clinical research shows that neither pomegranate juice nor pomegranate extract have a significant effect on CYP2C9 activity in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Pomegranate contains several polyphenols that have individually been shown to inhibit CYP3A4. However, there is contradictory evidence about the effect of whole pomegranate juice on CYP3A4 activity. In vitro, pomegranate juice significantly inhibits the CYP3A4 enzyme, with comparable inhibition to grapefruit juice. In an animal model, pomegranate juice inhibits CYP3A4 metabolism of carbamazepine and increases levels of carbamazepine by 1.5 times; however, in human volunteers, drinking a single glass of pomegranate juice 240 mL or taking 200 mL daily for 2 weeks does not significantly affect levels of the CYP3A4 substrate midazolam after oral or intravenous administration. Another study in healthy volunteers shows that consuming pomegranate juice 300 mL three times daily for three days also does not significantly affect levels of simvastatin, a CYP3A4 substrate This suggests that pomegranate is unlikely to significantly affect levels of CYP3A4 substrates in humans.
Tolbutamide (Orinase)
Theoretically, pomegranate might increase levels of tolbutamide, although research suggests this interaction is unlikely to be clinically significant.
Animal research shows that pomegranate juice inhibits the cytochrome P450 2C9 (CYP2C9) metabolism of tolbutamide. Pomegranate juice increased tolbutamide levels by 1.2 times without prolonging the elimination half-life. This suggests that pomegranate juice inhibits intestinal CYP2C9, but might not inhibit hepatic CYP2C9. Despite this evidence, clinical research shows that neither pomegranate juice nor pomegranate extract have a significant effect on CYP2C9 activity in humans. This interaction does not appear to be clinically significant in humans.
Brand information
Manufacturer and brand details for Pomegranate Extract, from the product label.
Herbadiet
See all Herbadiet products- Name
- Arkure Health Care
- City
- Haryana
- State
- India
- Web Address
- www.herbadiet.in
Pomegranate Extract by Herbadiet: Common Questions
Does Pomegranate Extract by Herbadiet interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Does pomegranate extract actually lower blood pressure?
What are the most common side effects?
Is this safe to take while pregnant or breastfeeding?
Does pomegranate extract help with cholesterol or blood sugar?
What's in the capsule besides the extract?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Pomegranate Extract is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Pomegranate Extract’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Pomegranate Extract's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 27 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.
Pomegranate 27 references
- Igea JM, Cuesta J, Cuevas M, et al. Adverse reaction to pomegranate ingestion. Allergy 1991;46:472-4. DOI
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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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