Pycnogenol Pine Extract Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Pycnogenol Pine 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
Pycnogenol Pine Extract is a dietary supplement by Genesis Today with 4 active ingredients. Its ingredients are commonly taken for skin hydration and aging, joint comfort and osteoarthritis, dry eyes.Based on those ingredients, 429 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Pycnogenol(R), Horsetail (Equisetum arvense) Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Pycnogenol Pine Extract by Genesis Today
Ask about any prescription or over-the-counter medication and we check it for interactions with Pycnogenol Pine Extract by Genesis Today — 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 Pycnogenol Pine Extract by Genesis Today
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 4 ingredients: rice hull concentrate (which we cannot verify), hyaluronic acid, horsetail extract, and Pycnogenol (a standardized maritime pine bark extract). Hyaluronic acid is a natural compound used topically and orally to support joint and eye moisture.
Horsetail is an herb traditionally used for joint and urinary support. Pycnogenol is the brand name for a patented extract of French maritime pine bark, studied for its antioxidant properties.
The capsule itself is made from vegetable material.
Does it work?
Moderate evidence
The evidence varies by ingredient. Pycnogenol shows possibly effective evidence for osteoarthritis and chronic venous insufficiency (swelling and heaviness in the legs from poor vein circulation), and possibly effective for asthma, though it appears possibly ineffective for high cholesterol.
Hyaluronic acid is possibly effective for dry eye and venous leg ulcers but has insufficient evidence for aging skin, hay fever, and sexual dysfunction. Horsetail has insufficient evidence for urinary incontinence, weight loss, sore throat, and hair loss.
Overall, if you're considering this product for a specific condition, the evidence picture is mixed.
How safe is it?
Well-documented data
These ingredients are generally well tolerated when used short-term in adults, though long-term safety isn't fully studied. Horsetail may cause abdominal bloating, increased bowel movements, and nausea, and shouldn't be used during pregnancy or breastfeeding due to insufficient safety data—crude horsetail can contain thiaminase, which may cause thiamine deficiency.
Pycnogenol may cause dizziness, vertigo, headache, and gastrointestinal complaints; it's possibly safe in pregnancy but should be avoided while breastfeeding. Hyaluronic acid is generally well tolerated orally but has limited long-term data and is best avoided orally unless your doctor approves it.
Meds to double-check
Moderate interaction found
Before taking this product, double-check with your doctor or pharmacist if you take HIV medications (especially NRTIs or efavirenz), blood thinners or antiplatelet drugs, diabetes medications, diuretics, lithium, or immunosuppressants. Horsetail poses the highest concern—case reports show it can cause treatment failure in HIV—so if you're on antiretroviral therapy, this product is not a simple add-on.
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.
This product may help with osteoarthritis, venous leg swelling, or asthma (from Pycnogenol) or dry eye and leg ulcers (from hyaluronic acid), though the evidence is modest and mixed. Because horsetail and Pycnogenol interact with blood thinners, diabetes and HIV medications, diuretics, immunosuppressants, and lithium, you need to check your exact medications before starting—don't skip this step if you're on any of those drug types.
Talk with your doctor or pharmacist about whether this is right for you and your current regimen.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 25, 2014.
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 Pycnogenol Pine Extract, straight from the product label.
| Brand | Genesis Today |
|---|---|
| Barcode (UPC) | 812711013459 |
| Net contents | 60 Vegetarian Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Jun 25, 2014 |
| DSLD ID | 34577 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
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 Pycnogenol Pine Extract by Genesis Today, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Rice Hull Concentrate | 200 mg | -- |
| Hyaluronic Acid | 100 mg | -- |
| Horsetail (Equisetum arvense) Extract | 300 mg | -- |
| Pycnogenol(R) | 40 mg | -- |
Other ingredients: Vegetable Capsule
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
Genesis Today's Pycnogenol(R) also contains Horsetail extract (Equisetum arvense), a plant containing nutrients that have been shown to support healthy hair, skin and nails.
Brand IP Statement(s)
In addition, Pycnogenol(R) French Maritime Pine Bark provides natural support for cardiovascular health.
Genesis Today's Pycnogenol(R) is derived from French Maritime Pine Bark.
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.
General Statements
And absolutely nothing else!
Use of this product may be protected by one or more U.S. patents and other international patents.
Supports: HEALTHY SKIN & YOUTHFULNESS
Enjoy and live long!
This plant extract is thought to naturally moisturize the skin from the inside out supporting firm, smooth skin and helping to counter fine lines and signs of aging.
Skin Health Youthful Appearance
Pure & Potent
Seals/Symbols
PYCNOGENOL(R) NATURE'S SUPER ANTIOXIDANT
Suggested/Recommended/Usage/Directions
Directions: As a dietary supplement, take two (2) capsules one or more times per day with a full glass of water or as recommended by your healthcare provider.
Precautions
Do not purchase if seal around cap is broken.
Keep out of reach of children.
General
LBGT142
FDA Statement of Identity
DIETARY SUPPLEMENT
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Pycnogenol Pine Extract by Genesis Today 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 Pycnogenol Pine Extract by Genesis Today
These are the 4 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Capsule(s) Dosage formCapsule Servings per container30 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Rice Hull Concentrate
Hyaluronic Acid
No knowninteractions
Hyaluronic acid is a natural substance in the body that helps hold water in the skin, joints, and eyes. Oral and topical products are popular for skin...
Hyaluronic Acid monograph & interactionsHorsetail (Equisetum arvense) Extract
Interacts with188 drugs
Horsetail is a traditional herb most often used as a mild diuretic and for hair, nail, and bone support, but high-quality human evidence is limited. I...
Horsetail (Equisetum arvense) Extract monograph & interactionsPycnogenol(R)
Interacts with327 drugs
Maritime pine bark extract (often sold as Pycnogenol) is a plant-based antioxidant most studied for circulation, vein, and skin health. Some research...
Pycnogenol(R) monograph & interactionsOther (inactive) ingredients: Vegetable Capsule. These complete the product’s ingredient list but are not active constituents.
Pycnogenol Pine Extract by Genesis Today Drug Interactions
HelloPharmacist Interaction Report
Pycnogenol Pine Extract by Genesis Today contains ingredients with documented interactions affecting a substantial number of medications.
Through its horsetail and Pycnogenol content, the most serious concern is a Moderate-severity risk: horsetail may decrease levels of NRTIs and efavirenz, HIV medications whose failure could allow viral rebound—case reports document detectable viral loads in patients combining horsetail with these drugs.
Read the full breakdown — every affected drug type, severity by severity
Horsetail also carries Moderate interactions with antidiabetes drugs (raising low blood sugar risk), diuretics (increasing potassium loss), and lithium (raising lithium levels and toxicity risk). Pycnogenol presents Moderate interactions with blood thinners and antiplatelet drugs (increased bleeding risk), immunosuppressants (reduced effectiveness), and antidiabetes drugs (increased low blood sugar risk).
Hyaluronic acid, the third active ingredient we could check, shows no interactions in our data. We could not check rice hull concentrate.
Altogether, these interactions span 429 individual medications. Run your current medications through the interaction checker on this page before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Pycnogenol Pine 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 Pycnogenol Pine Extract interact with 429 drugs. Click any drug to see the details.
2 of the 4 ingredients in Pycnogenol Pine Extract interact with drugs. Each result below shows which ingredient is responsible. Pycnogenol(R) Horsetail (Equisetum arvense) Extract
BetamethasoneCelestone, Diprolene AF, Diprosone
How Betamethasone interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Immunosuppressants Moderate
Interaction Summary
Theoretically, maritime pine bark extract might decrease the effectiveness of immunosuppressant therapy.
Read the full Pycnogenol(r) + Betamethasone interactionBetamethasone DipropionateSernivo
How Betamethasone Dipropionate interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Immunosuppressants Moderate
Interaction Summary
Theoretically, maritime pine bark extract might decrease the effectiveness of immunosuppressant therapy.
Read the full Pycnogenol(r) + Betamethasone Dipropionate interactionBetamethasone Dipropionate, CalcipotrieneEnstilar, Wynzora
How Betamethasone Dipropionate, Calcipotriene interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Immunosuppressants Moderate
Interaction Summary
Theoretically, maritime pine bark extract might decrease the effectiveness of immunosuppressant therapy.
Read the full Pycnogenol(r) + Betamethasone Dipropionate, Calcipotriene interactionBetamethasone ValerateLuxiq
How Betamethasone Valerate interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Immunosuppressants Moderate
Interaction Summary
Theoretically, maritime pine bark extract might decrease the effectiveness of immunosuppressant therapy.
Read the full Pycnogenol(r) + Betamethasone Valerate interactionBetrixabanBevyxxa
How Betrixaban interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, maritime pine bark extract might increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
Read the full Pycnogenol(r) + Betrixaban interactionBimekizumab-bkzxBimzelx
How Bimekizumab-bkzx interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Immunosuppressants Moderate
Interaction Summary
Theoretically, maritime pine bark extract might decrease the effectiveness of immunosuppressant therapy.
Read the full Pycnogenol(r) + Bimekizumab-bkzx interactionBisoprolol, HydrochlorothiazideZiac
How Bisoprolol, Hydrochlorothiazide interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Horsetail (equisetum Arvense) ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail (equisetum Arvense) Extract + Bisoprolol, Hydrochlorothiazide interactionBivalirudinAngiomax, Angiomax Rtu, Angiox
How Bivalirudin interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, maritime pine bark extract might increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
Read the full Pycnogenol(r) + Bivalirudin interactionBromfenac SodiumBromsite, Prolensa
How Bromfenac Sodium interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, maritime pine bark extract might increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
Read the full Pycnogenol(r) + Bromfenac Sodium interactionBumetanideBurinex
How Bumetanide interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Horsetail (equisetum Arvense) ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail (equisetum Arvense) Extract + Bumetanide interactionBumetanide, PotassiumBurinex K
How Bumetanide, Potassium interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Horsetail (equisetum Arvense) ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail (equisetum Arvense) Extract + Bumetanide, Potassium interactionCabliviCablivi
How Cablivi interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, maritime pine bark extract might increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
Read the full Pycnogenol(r) + Cablivi interactionCaffeine, Potassium Salicylate, SalicylamideTrim-Elim
How Caffeine, Potassium Salicylate, Salicylamide interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Horsetail (equisetum Arvense) ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail (equisetum Arvense) Extract + Caffeine, Potassium Salicylate, Salicylamide interactionCanagliflozinInvokana
How Canagliflozin interacts with Pycnogenol Pine Extract — through 2 ingredients. Tap an ingredient for the detail:
Horsetail (equisetum Arvense) ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Horsetail (equisetum Arvense) Extract + Canagliflozin interactionPycnogenol(r)Antidiabetes Drugs Moderate
Interaction Summary
Theoretically, maritime pine bark extract might increase the risk of hypoglycemia when used with antidiabetes drugs.
Read the full Pycnogenol(r) + Canagliflozin interactionCanagliflozin, MetforminInvokamet
How Canagliflozin, Metformin interacts with Pycnogenol Pine Extract — through 2 ingredients. Tap an ingredient for the detail:
Pycnogenol(r)Antidiabetes Drugs Moderate
Interaction Summary
Theoretically, maritime pine bark extract might increase the risk of hypoglycemia when used with antidiabetes drugs.
Read the full Pycnogenol(r) + Canagliflozin, Metformin interactionHorsetail (equisetum Arvense) ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Horsetail (equisetum Arvense) Extract + Canagliflozin, Metformin interactionCanagliflozin, Metformin HydrochlorideInvokamet XR
How Canagliflozin, Metformin Hydrochloride interacts with Pycnogenol Pine Extract — through 2 ingredients. Tap an ingredient for the detail:
Horsetail (equisetum Arvense) ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Horsetail (equisetum Arvense) Extract + Canagliflozin, Metformin Hydrochloride interactionPycnogenol(r)Antidiabetes Drugs Moderate
Interaction Summary
Theoretically, maritime pine bark extract might increase the risk of hypoglycemia when used with antidiabetes drugs.
Read the full Pycnogenol(r) + Canagliflozin, Metformin Hydrochloride interactionCandesartan Cilexetil, HydrochlorothiazideAtacand HCT
How Candesartan Cilexetil, Hydrochlorothiazide interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Horsetail (equisetum Arvense) ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail (equisetum Arvense) Extract + Candesartan Cilexetil, Hydrochlorothiazide interactionCangrelorKengreal
How Cangrelor interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, maritime pine bark extract might increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
Read the full Pycnogenol(r) + Cangrelor interactionCaptopril, HydrochlorothiazideAcezide, Capozide
How Captopril, Hydrochlorothiazide interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Horsetail (equisetum Arvense) ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail (equisetum Arvense) Extract + Captopril, Hydrochlorothiazide interactionChlorothiazideDiuril
How Chlorothiazide interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Horsetail (equisetum Arvense) ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail (equisetum Arvense) Extract + Chlorothiazide interactionChlorothiazide, MethyldopaAldochlor, Aldoclor 150, Aldoclor 250
How Chlorothiazide, Methyldopa interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Horsetail (equisetum Arvense) ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail (equisetum Arvense) Extract + Chlorothiazide, Methyldopa interactionChlorothiazide, ReserpineDiupres
How Chlorothiazide, Reserpine interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Horsetail (equisetum Arvense) ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail (equisetum Arvense) Extract + Chlorothiazide, Reserpine interactionChlorpropamideChlorpropam, Diabinese
How Chlorpropamide interacts with Pycnogenol Pine Extract — through 2 ingredients. Tap an ingredient for the detail:
Horsetail (equisetum Arvense) ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Horsetail (equisetum Arvense) Extract + Chlorpropamide interactionPycnogenol(r)Antidiabetes Drugs Moderate
Interaction Summary
Theoretically, maritime pine bark extract might increase the risk of hypoglycemia when used with antidiabetes drugs.
Read the full Pycnogenol(r) + Chlorpropamide interactionChlorthalidoneHygroton, Thalitone
How Chlorthalidone interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Horsetail (equisetum Arvense) ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail (equisetum Arvense) Extract + Chlorthalidone interactionChlorthalidone, ClonidineClorpres, Combipres
How Chlorthalidone, Clonidine interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Horsetail (equisetum Arvense) ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail (equisetum Arvense) Extract + Chlorthalidone, Clonidine interactionCiclesonideAlvesco, Omnaris, Zetonna
How Ciclesonide interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Immunosuppressants Moderate
Interaction Summary
Theoretically, maritime pine bark extract might decrease the effectiveness of immunosuppressant therapy.
Read the full Pycnogenol(r) + Ciclesonide interactionCilostazolPletal
How Cilostazol interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, maritime pine bark extract might increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
Read the full Pycnogenol(r) + Cilostazol interactionCisplatinPlatinol-AQ
How Cisplatin interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Immunosuppressants Moderate
Interaction Summary
Theoretically, maritime pine bark extract might decrease the effectiveness of immunosuppressant therapy.
Read the full Pycnogenol(r) + Cisplatin interactionCladribineLeustatin, Mavenclad
How Cladribine interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Immunosuppressants Moderate
Interaction Summary
Theoretically, maritime pine bark extract might decrease the effectiveness of immunosuppressant therapy.
Read the full Pycnogenol(r) + Cladribine interactionClopidogrelPlavix
How Clopidogrel interacts with Pycnogenol Pine Extract — through 1 ingredient. Tap an ingredient for the detail:
Pycnogenol(r)Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, maritime pine bark extract might increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
Read the full Pycnogenol(r) + Clopidogrel interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Pycnogenol Pine Extract with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Pycnogenol(R)
Anticoagulant/Antiplatelet Drugs
Theoretically, maritime pine bark extract might increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
Clinical research suggests that maritime pine bark extract inhibits platelet aggregation. However, the clinical significance of this effect is unclear.
Antidiabetes Drugs
Theoretically, maritime pine bark extract might increase the risk of hypoglycemia when used with antidiabetes drugs.
One clinical study shows that maritime pine bark extract decreases blood sugar in patients with diabetes being treated with antidiabetes agents. Monitor blood glucose levels closely. Dose adjustments might be necessary.
Immunosuppressants
Theoretically, maritime pine bark extract might decrease the effectiveness of immunosuppressant therapy.
In vitro and animal research suggests that maritime pine bark extract has immunostimulant activity. This effect has not been reported in humans.
Horsetail (Equisetum arvense) Extract
Antidiabetes Drugs
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Equisetum myriochaetum has demonstrated hypoglycemic activity in clinical research. In an animal diabetic model, Equisetum giganteum had hypoglycemic effects. It is unclear whether other horsetail species have hypoglycemic effects.
Diuretic Drugs
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Laboratory research shows that various species of horsetail have diuretic properties. Due to its diuretic effects, there has been concern that taking horsetail along with potassium-depleting diuretics might increase the risk for hypokalemia. However, pharmacokinetic research in humans shows that taking horsetail 900 mg daily for 4 days does not affect urinary excretion of electrolytes, including potassium and sodium, despite having a diuretic effect similar to taking hydrochlorothiazide 25 mg daily. It is unclear if taking horsetail for a longer duration would affect electrolyte levels. Until more is known, use with caution.
Efavirenz (Sustiva)
Theoretically, horsetail might decrease the levels and clinical effects of efavirenz.
In two case reports, patients were found to have detectable viral loads when taking horsetail-containing supplements along with an antiretroviral regimen that included efavirenz. In one case, the antiretroviral regimen included zidovudine, lamivudine, and efavirenz; in the other case, the regimen consisted of emtricitabine, tenofovir disoproxil fumarate, and efavirenz. One month after discontinuing horsetail, the viral loads became undetectable in both cases. The exact mechanism of this interaction is unknown. It is also unclear if this interaction is specific to efavirenz or if it is related to various components of antiretroviral therapy.
Lithium
Theoretically, horsetail might increase the levels and adverse effects of lithium.
Animal research suggests that horsetail has diuretic properties. Theoretically, due to these potential diuretic effects, horsetail might reduce excretion and increase levels of lithium. The dose of lithium might need to be decreased.
Nucleoside Reverse Transcriptase Inhibitors (Nrtis)
Theoretically, horsetail might decrease the levels and clinical effects of NRTIs.
In two case reports, patients were found to have detectable viral loads when taking horsetail-containing supplements along with an antiretroviral therapy. In one case, the antiretroviral regimen included zidovudine, lamivudine, and efavirenz; in the other case, the regimen consisted of emtricitabine, tenofovir disoproxil fumarate, and efavirenz. One month after discontinuing the supplement, the viral loads became undetectable in both cases. The exact mechanism of these interactions is unknown. It is also unclear if these interactions are specific to NRTIs or if they are related to various components of antiretroviral therapy.
Brand information
Manufacturer and brand details for Pycnogenol Pine Extract, from the product label.
Genesis Today
See all Genesis Today products- Name
- Genesis Today, Inc.
- Street Address
- 14101 W. Highway 290, Bldg. #1900
- City
- Austin
- State
- TX
- ZipCode
- 78737
- Phone Number
- (800) 916-6642
- Web Address
- www.genesistoday.com
Pycnogenol Pine Extract by Genesis Today: Common Questions
Does Pycnogenol Pine Extract by Genesis Today interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm on blood thinners like warfarin?
What if I take diabetes medication?
Can I take this while pregnant or breastfeeding?
What side effects might I experience?
Does this product actually work for arthritis or asthma?
I'm on lithium—is this safe?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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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 Pycnogenol Pine Extract’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Hyaluronic Acid
Hyaluronic acid is a natural substance in the body that helps hold water in the skin, joints, and eyes. Oral and topical products are popular for skin moisture and joint comfort, and the evi...
Read the full Hyaluronic Acid monograph → Herb & supplement monographHorsetail
Interacts with 188 drugsHorsetail is a traditional herb most often used as a mild diuretic and for hair, nail, and bone support, but high-quality human evidence is limited. It can cause thiamine (vitamin B1) loss w...
Read the full Horsetail monograph → Herb & supplement monographMaritime Pine
Interacts with 327 drugsMaritime pine bark extract (often sold as Pycnogenol) is a plant-based antioxidant most studied for circulation, vein, and skin health. Some research is promising, but many studies are small...
Read the full Maritime Pine monograph →Sources & How We Checked
Pycnogenol Pine 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 32 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.
Hyaluronic Acid 4 references
- Park Y, Song JS, Choi CY, Yoon KC, Lee HK, Kim HS. A randomized multicenter study comparing 0.1%, 0.15%, and 0.3% sodium hyaluronate with 0.05% cyclosporine in the treatment of dry eye. J Ocul Pharmacol Ther. 2017;33(2):66-72. PubMed
- U.S. Food and Drug Administration. Do Not Use Needle-Free Devices for Injection of Dermal Fillers - FDA Safety Communication. October 8, 2021. Available at: https://www.fda.gov/medical-devices/safety-communications/do-not-use-needle-free-devices-injection
- Disphanurat W, Srisantithum B. Efficacy and safety of 0.15% isobutylamido thiazolyl resorcinol combined with hyaluronic acid vs 0.15% isobutylamido thiazolyl resorcinol or hyaluronic acid alone in melasma treatment: A randomized evaluator-blind trial. J C PubMed
- Humbert P, Mikosinki J, Benchikhi H, Allaert FA. Efficacy and safety of a gauze pad containing hyaluronic acid in treatment of leg ulcers of venous or mixed origin: a double-blind, randomised, controlled trial. Int Wound J 2013;10(2):159-66. PubMed
Horsetail 14 references
- Sudan BJ. Seborrhoeic dermatitis induced by nicotine of horsetails (Equisetum arvense L.). Contact Dermatitis 1985;13:201-2.
- Perez Gutierrez RM, Laguna GY, Walkowski A. Diuretic activity of Mexican equisetum. J Ethnopharmacol 1985;14:269-72. PubMed
- Lemus I, Garcia R, Erazo S, et al. Diuretic activity of an Equisetum bogotense tea (Platero herb): evaluation in healthy volunteers. J Ethnopharmacol 1996;54:55-8. PubMed
- Revilla MC, Andrade-Cetto A, Islas S, Wiedenfeld H. Hypoglycemic effect of Equisetum myriochaetum aerial parts on type 2 diabetic patients. J Ethnopharmacol 2002;81:117-20. PubMed
- Tiktinskii, O. L. and Bablumian, I. A. [Therapeutic action of Java tea and field horsetail in uric acid diathesis]. Urol.Nefrol.(Mosk) 1983;3(1):47-50.
- Henderson JA, Evans EV, and McIntosh RA. The antithiamine action of Equisetum. J Amer Vet Med Assoc 1952;120:375-378.
- Carneiro DM, Freire RC, Honório TC, Zoghaib I, Cardoso FF, Tresvenzol LM, de Paula JR, Sousa AL, Jardim PC, da Cunha LC. Randomized, Double-Blind Clinical Trial to Assess the Acute Diuretic Effect of Equisetum arvense (Field Horsetail) in Healthy Voluntee
- Klnçalp S, Ekiz F, Basar Ö, Coban S, Yüksel O. Equisetum arvense (Field Horsetail)-induced liver injury. Eur J Gastroenterol Hepatol. 2012 Feb;24(2):213-4. PubMed
- Ortega García JA, Angulo MG, Sobrino-Najul EJ, Soldin OP, Mira AP, Martínez-Salcedo E, Claudio L. Prenatal exposure of a girl with autism spectrum disorder to 'horsetail' (Equisetum arvense) herbal remedy and alcohol: a case report. J Med Case Rep. 2011 M PubMed
- Cordova E, Morganti L, Rodriguez C. Possible Drug-Herb Interaction between Herbal Supplement Containing Horsetail (Equisetum arvense) and Antiretroviral Drugs. J Int Assoc Provid AIDS Care. 2017;16(1):11-13.
- García Gavilán MD, Moreno García AM, Rosales Zabal JM, Navarro Jarabo JM, Sánchez Cantos A. Case of drug-induced acute pancreatitis produced by horsetail infusions. Rev Esp Enferm Dig. 2017 Apr;109(4):301-304. PubMed
- Vieira GT, de Oliveira TT, Carneiro MAA, et al. Antidiabetic effect of Equisetum giganteum L. extract on alloxan-diabetic rabbit. J Ethnopharmacol. 2020;260:112898. PubMed
- Health Canada. Organism-Equisetum arvense. Available at: http://webprod.hc-sc.gc.ca/nhpid-bdipsn/ingredReq.do?id=6117&lang=eng. Accessed 21-July 2021.
- Bates D, Duong TB, Kheyson S, Moore K. Hyponatremia Secondary to Decreased Oral Intake and SIADH and Possibly Exacerbated by Horsetail (Equisetum arvense). Can J Hosp Pharm 2021;74(4):386-389. PubMed
Maritime Pine 14 references
- Rice-Evans CA, Packer L, eds. Flavonoids in Health and Disease. Manhattan, NY: Marcel Dekker, Inc., 1998.
- Liu FJ, Zhang YX, Lau BH. Pycnogenol enhances immune and haemopoietic functions in senescence-accelerated mice. Cell Mol Life Sci 1998;54:1168-72. PubMed
- Putter M, Grotemeyer KH, Wurthwein G, et al. Inhibition of smoking-induced platelet aggregation by aspirin and pycnogenol. Thromb Res 1999;95:155-61. PubMed
- Kohama T, Inoue M. Pycnogenol alleviates pain associated with pregnancy. Phytother Res 2006;20:232-4.
- Liu X, Zhou HJ, Rohdewald P. French maritime pine bark extract pycnogenol dose-dependently lowers glucose in type 2 diabetic patients (letter). Diabetes Care 2004;27:839. PubMed
- Liu X, Wei J, Tan F, et al. Antidiabetic effect of Pycnogenol French maritime pine bark extract in patients with diabetes type II. Life Sci 2004;75:2505-13. PubMed
- Wilson D, Evans M, Guthrie N et al. A randomized, double-blind, placebo-controlled exploratory study to evaluate the potential of pycnogenol for improving allergic rhinitis symptoms. Phytother Res 2010;24:1115-9.
- Araghi-Niknam, M., Hosseini, S., Larson, D., Rohdewald, P., and Watson, R. R. Pine bark extract reduces platelet aggregation. Integr.Med. 3-21-2000;2(2):73-77. PubMed
- Trebaticka, J., Kopasova, S., Hradecna, Z., Cinovsky, K., Skodacek, I., Suba, J., Muchova, J., Zitnanova, I., Waczulikova, I., Rohdewald, P., and Durackova, Z. Treatment of ADHD with French maritime pine bark extract, Pycnogenol. Eur.Child Adolesc.Psychi PubMed
- Suzuki, N., Uebaba, K., Kohama, T., Moniwa, N., Kanayama, N., and Koike, K. French maritime pine bark extract significantly lowers the requirement for analgesic medication in dysmenorrhea: a multicenter, randomized, double-blind, placebo-controlled study
- Cisar, P., Jany, R., Waczulikova, I., Sumegova, K., Muchova, J., Vojtassak, J., Durackova, Z., Lisy, M., and Rohdewald, P. Effect of pine bark extract (Pycnogenol) on symptoms of knee osteoarthritis. Phytother.Res. 2008;22(8):1087-1092.
- Enseleit, F., Sudano, I., Periat, D., Winnik, S., Wolfrum, M., Flammer, A. J., Frohlich, G. M., Kaiser, P., Hirt, A., Haile, S. R., Krasniqi, N., Matter, C. M., Uhlenhut, K., Hogger, P., Neidhart, M., Luscher, T. F., Ruschitzka, F., and Noll, G. Effects
- Schoonees, A., Visser, J., Musekiwa, A., and Volmink, J. Pycnogenol(R) (extract of French maritime pine bark) for the treatment of chronic disorders. Cochrane.Database.Syst.Rev. 2012;4:CD008294.
- Wang S, Tan D Zhao Y et al. The effect of pycnogenol on the microcirculation, platelet function and ischemic myocardium in patients with coronary artery diseases. Eur Bull Drug Res 1999;7:19-25.
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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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