Standardized Pure Grape Seed Extract Ingredients & Drug Interactions
by Only Natural
What is this page for?
First and foremost: checking Standardized Pure Grape Seed 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
Standardized Pure Grape Seed Extract is a dietary supplement by Only Natural with 1 active ingredient. Its ingredients are commonly taken for antioxidant support, heart and circulation health, vein problems (such as varicose veins).Based on those ingredients, 910 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are pure standardized Grape seed extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Standardized Pure Grape Seed Extract by Only Natural
Ask about any prescription or over-the-counter medication and we check it for interactions with Standardized Pure Grape Seed Extract by Only Natural — 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 Standardized Pure Grape Seed Extract by Only Natural
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This product contains one active ingredient: pure standardized grape seed extract. Grape seed extract is made from the seeds of grapes and contains compounds called proanthocyanidins, which are thought to be responsible for its effects.
The capsule also contains three inactive ingredients — silica, gelatin, and vegetable stearate — which are fillers and binders that help hold the supplement together.
Does it work?
Moderate evidence
Grape seed extract is possibly effective for chronic venous insufficiency (CVI) — a condition where blood pools in the legs, causing swelling and discomfort. The evidence base shows promise, but more research would strengthen the case.
For other uses — chemotherapy-induced nausea and vomiting, hay fever (allergic rhinitis), and obesity — the evidence we hold rates it as possibly ineffective. That doesn't mean it won't help you personally, only that the current research doesn't show a clear benefit.
How safe is it?
Well-documented data
Grape seed extract is generally well tolerated in studies, with a safety profile similar to eating grapes as food. The most common side effects in trials were mild: abdominal pain, diarrhea, dry mouth, indigestion, headache, joint pain, and nausea.
A rare serious reaction — anaphylaxis to grape skin — has been reported. For pregnancy and breastfeeding, the safety data is limited.
Grapes as food are fine, but concentrated grape supplements and grape wine are best avoided during pregnancy because we don't have enough data and wine contains alcohol. For breastfeeding, there isn't enough information on concentrated supplements — talk with your doctor or pharmacist about what's right for you.
Meds to double-check
Moderate interaction found
Before taking this product, check with your doctor or pharmacist if you're on blood thinners or antiplatelet drugs (like warfarin or clopidogrel), cyclosporine (for transplant or autoimmune conditions), midazolam (for sedation or anxiety), or any medication processed through your liver's cytochrome P450 enzymes — a large category that includes many common drugs. The search tool on this page can help you identify whether your specific medications interact.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
If you have chronic venous insufficiency and aren't taking blood thinners, cyclosporine, midazolam, or medications dependent on liver enzyme systems, this extract may be worth a try. If you do take any of those drugs or rely on liver enzymes to clear your medications, you'll want to check your exact list before starting.
Talk it over with your doctor or pharmacist — they know your full medication profile and can tell you whether this product fits safely into your regimen.
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 Oct 10, 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 Standardized Pure Grape Seed Extract, straight from the product label.
| Brand | Only Natural |
|---|---|
| Barcode (UPC) | 7-27413-00675-6 |
| Net contents | 30 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Oct 10, 2014 |
| DSLD ID | 37734 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Dairy Free, Sugar Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Standardized Pure Grape Seed Extract by Only Natural, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| pure standardized Grape seed extract | 100 mg | -- |
Other ingredients: Silica, Gelatin, Vegetable Stearate
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.
Suggested/Recommended/Usage/Directions
Suggested Use: As a dietary supplement, take one (1) or two (2) capsules daily preferably at mealtime or as directed by your health care professional.
General Statements
Description: Only Natural's Grape Seed Extract is a rich source of bioflavonoids and is a natural antioxidant.
Nutrition Questions or Comments? Call Only Natural Inc. at 516-897-7001 Mon. — Fri. 9 AM - 5 PM EST
All Natural Antioxidant
Made In USA
Formula
Each of our capsules contains 100 mg of pure standardized grape seed extract supplying a minimum of 95% oligomeric proanthocyanidins.
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.
Seals/Symbols
ONLY NATURAL Est.1986
FDA Statement of Identity
Dietary Supplement
Formulation
GUARANTEED FREE OF: artificial flavor & color, corn, dairy, salt, soy, starch, sugar, wheat, yeast
Storage
STORE IN A COOL, DRY PLACE
Precautions
KEEP OUT OF REACH OF CHILDREN
TAMPER RESISTANT - DO NOT USE IF SEAL IS DAMAGED OR MISSING
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Standardized Pure Grape Seed Extract by Only Natural 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 Standardized Pure Grape Seed Extract by Only Natural
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.
Pure standardized Grape seed extract
Interacts with910 drugs
Grapes and grape products like grape seed extract contain antioxidant compounds such as resveratrol and proanthocyanidins that may support heart and b...
Pure standardized Grape seed extract monograph & interactionsOther (inactive) ingredients: Silica, Gelatin, Vegetable Stearate. These complete the product’s ingredient list but are not active constituents.
Standardized Pure Grape Seed Extract by Only Natural Drug Interactions
HelloPharmacist Interaction Report
Standardized Pure Grape Seed Extract by Only Natural interacts with a number of medications.
The ingredient grape seed extract can affect how your body processes and eliminates several classes of prescription drugs, most seriously through its impact on blood thinners (anticoagulants) and antiplatelet drugs — it may theoretically increase bleeding risk if you're already taking those medications.
Read the full breakdown — every affected drug type, severity by severity
Grape seed extract may also interfere with drugs that rely on your liver's cytochrome P450 enzymes to work — specifically CYP1A2, CYP2D6, CYP3A4, and CYP2E1 substrates. The research here is mixed: some enzyme systems may speed up (reducing drug levels), while others may slow down (raising drug levels), and human evidence is sparse.
Two specific medications with clearer concern are cyclosporine (an immunosuppressant), which this extract can reduce by up to 30%, and midazolam (a sedative), where long-term use of the extract may decrease effectiveness. There's also a small study showing grape juice can lower phenacetin (an old pain reliever) absorption.
Altogether, these interactions span 911 individual medications. Because so many drugs depend on those liver enzymes, the safest move is to check your exact medications with the search tool on this page before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Standardized Pure Grape Seed 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 Standardized Pure Grape Seed Extract interact with 910 drugs. Click any drug to see the details.
1 of the 1 ingredient in Standardized Pure Grape Seed Extract interact with drugs. Each result below shows which ingredient is responsible. pure standardized Grape seed extract
AtorvastatinAtorvaliq
How Atorvastatin interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Atorvastatin Calcium interactionAtropine, Chlorpheniramine, Hyoscyamine, Phenylephrine, Phenylpropanolamine, ScopolamineAtrohist Plus, Pro Tuss, Ru-tuss, Stahist
How Atropine, Chlorpheniramine, Hyoscyamine, Phenylephrine, Phenylpropanolamine, Scopolamine interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Atropine, Chlorpheniramine, Hyoscyamine, Phenylephrine, Phenylpropanolamine, Scopolamine interactionAtropine, MeperidineAtropine, Meperidine
How Atropine, Meperidine interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, grape seed extract may increase the levels of CYP2D6 substrates.
Read the full Pure Standardized Grape Seed Extract + Atropine, Meperidine interactionAtropine, Morphine SulfateAtropine, Morphine Sulfate
How Atropine, Morphine Sulfate interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, grape seed extract may increase the levels of CYP2D6 substrates.
Read the full Pure Standardized Grape Seed Extract + Atropine, Morphine Sulfate interactionAvacopanTavneos
How Avacopan interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Avacopan interactionAvanafilStendra
How Avanafil interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Avanafil interactionAvapritinibAyvakit
How Avapritinib interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Avapritinib interactionAxitinibInlyta
How Axitinib interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Axitinib interactionAzelastine Hydrochloride, Fluticasone PropionateDymista
How Azelastine Hydrochloride, Fluticasone Propionate interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Azelastine Hydrochloride, Fluticasone Propionate interactionBazedoxifene Acetate, Conjugated EstrogensDuavee
How Bazedoxifene Acetate, Conjugated Estrogens interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Bazedoxifene Acetate, Conjugated Estrogens interactionBeclometasone DipropionateBecotide
How Beclometasone Dipropionate interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Beclometasone Dipropionate interactionBeclomethasoneBeclovent, Vanceril
How Beclomethasone interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Beclomethasone interactionBeclomethasone DipropionateQNASL, Qvar
How Beclomethasone Dipropionate interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Beclomethasone Dipropionate interactionBedaquilineSirturo
How Bedaquiline interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Bedaquiline interactionBelladonna Alkaloids, Chlorpheniramine, Phenylephrine, PhenylpropanolamineRespa ARM
How Belladonna Alkaloids, Chlorpheniramine, Phenylephrine, Phenylpropanolamine interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Belladonna Alkaloids, Chlorpheniramine, Phenylephrine, Phenylpropanolamine interactionBelladonna Alkaloids, Ergotamine Tartrate, PhenobarbitalBel Tabs, Bellamine-S, Bellaphen-S, Duragal S, Phenarbal S, Spastrin
How Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interactionBelladonna, Caffeine, Ergotamine, PentobarbitalMicomp PB
How Belladonna, Caffeine, Ergotamine, Pentobarbital interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Belladonna, Caffeine, Ergotamine, Pentobarbital interactionBelladonna, Ergotamine Tartrate, Phenobarbital
How Belladonna, Ergotamine Tartrate, Phenobarbital interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Belladonna, Ergotamine Tartrate, Phenobarbital interactionBelladonna, Ergotamine, PhenobarbitalBellergal-S
How Belladonna, Ergotamine, Phenobarbital interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Belladonna, Ergotamine, Phenobarbital interactionBellafoline, Caffeine, Ergotamine Tartrate, PentobarbitalCafergot PB
How Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital interactionBelumosudil MesylateRezurock
How Belumosudil Mesylate interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Belumosudil Mesylate interactionBendamustineBelrapzo, Treanda, Vivimusta
How Bendamustine interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
Read the full Pure Standardized Grape Seed Extract + Bendamustine interactionBendamustine HydrochlorideBendeka
How Bendamustine Hydrochloride interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
Read the full Pure Standardized Grape Seed Extract + Bendamustine Hydrochloride interactionBenzhydrocodone, AcetaminophenApadaz
How Benzhydrocodone, Acetaminophen interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
Read the full Pure Standardized Grape Seed Extract + Benzhydrocodone, Acetaminophen interactionBepridilVascor
How Bepridil interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Bepridil interactionBetrixabanBevyxxa
How Betrixaban interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, grape extracts may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Pure Standardized Grape Seed Extract + Betrixaban interactionBexaroteneTargretin
How Bexarotene interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Bexarotene interactionBictegravir, Emtricitabine, Tenofovir AlafenamideBiktarvy
How Bictegravir, Emtricitabine, Tenofovir Alafenamide interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
Read the full Pure Standardized Grape Seed Extract + Bictegravir, Emtricitabine, Tenofovir Alafenamide interactionBisoprololZebeta
How Bisoprolol interacts with Standardized Pure Grape Seed Extract — through 1 ingredient. Tap an ingredient for the detail:
Pure Standardized Grape Seed ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, grape seed extract may increase the levels of CYP2D6 substrates.
Read the full Pure Standardized Grape Seed Extract + Bisoprolol interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Standardized Pure Grape Seed 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.
pure standardized Grape seed extract
Anticoagulant/Antiplatelet Drugs
Theoretically, grape extracts may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In vitro evidence suggests that grape extracts might decrease platelet aggregation.
Cyclosporine (Neoral, Sandimmune)
Ingesting grape juice with cyclosporine can reduce cyclosporine absorption.
A small pharmacokinetic study in healthy young adults shows that intake of purple grape juice 200 mL along with cyclosporine can decrease the absorption of cyclosporine by up to 30% when compared with water. Separate doses of grape juice and cyclosporine by at least 2 hours to avoid this interaction.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, grape juice might reduce the levels of CYP1A2 substrates.
A small pharmacokinetic study in healthy adults shows that ingestion of 200 mL of grape juice decreases phenacetin plasma levels. This is thought to be due to induction of CYP1A2.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, grape seed extract may increase the levels of CYP2D6 substrates.
In vitro evidence suggests that grape seed extract might inhibit CYP2D6 enzymes. However, this interaction has not been reported in humans.
Cytochrome P450 2E1 (Cyp2E1) Substrates
Theoretically, grape seed extract might increase the levels of CYP2E1 substrates.
In vitro and animal research suggests that grape seed proanthocyanidin extract inhibits CYP2E1 enzymes. However, this interaction has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
It is unclear if grape seed extract inhibits or induces CYP3A4; research is conflicting.
In vitro evidence suggests that grape seed extract might inhibit CYP3A4 enzymes. However, evidence from animal research shows that grape seed extract may induce CYP3A4 in the liver. So far, these interactions have not been reported in humans.
Midazolam (Versed)
Theoretically, long-term intake of grape seed extract might decrease the effects of midazolam.
Animal research shows that subchronic ingestions of grape seed extract can increase the elimination of intravenous midazolam by increasing hepatic CYP3A4 activity. Single doses of grape seed extract do not appear to affect midazolam elimination.
Phenacetin
Grape juice might decrease phenacetin absorption.
A small pharmacokinetic study in healthy adults shows that ingestion of 200 mL of grape juice decreases phenacetin plasma levels. This is thought to be due to induction of cytochrome P450 1A2 (CYP1A2).
Cytochrome P450 2C9 (Cyp2C9) Substrates
It is unclear if grape juice or grape seed extract inhibits CYP2C9; research is conflicting.
In vitro evidence shows that grape seed extract or grape juice might inhibit CYP2C9 enzymes. However, a small pharmacokinetic study in healthy adults shows that drinking 8 ounces of grape juice once does not affect the clearance of flurbiprofen, a probe-drug for CYP2C9 metabolism. The effects of continued grape juice consumption are unclear.
Brand information
Manufacturer and brand details for Standardized Pure Grape Seed Extract, from the product label.
Only Natural
See all Only Natural products- Name
- Only Natural, Inc.
- City
- Island Park
- State
- NY
- ZipCode
- 11558
Standardized Pure Grape Seed Extract by Only Natural: Common Questions
Does Standardized Pure Grape Seed Extract by Only Natural interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this while I'm pregnant or breastfeeding?
What are the most common side effects?
Does this really work for leg swelling from poor circulation?
How is this different from eating grapes or drinking grape juice?
Is there a risk of bleeding if I take this with a blood thinner?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Standardized Pure Grape Seed 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 Standardized Pure Grape Seed Extract’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Standardized Pure Grape Seed 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 34 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.
Grape 34 references
- Kiesewetter H, Koscielny J, Kalus U, et al. Efficacy of orally administered extract of red vine leaf AS 195 (folia vitis viniferae) in chronic venous insufficiency (stages I-II). A randomized, double-blind, placebo-controlled trial. Arzneimittelforschung
- Xiao Dong S, Zhi Ping Z, Zhong Xiao W, et al. Possible enhancement of the first-pass metabolism of phenacetin by ingestion of grape juice in Chinese subjects. Br J Clin Pharmacol 1999;48:638-40. PubMed
- Vaswani SK, Hamilton RG, Carey RN, et al. Anaphylaxis recurrent urticaria and angioedema from grape hypersensitivity. J Allergy Clin Immunol 1998;101:S31.
- Chevallier A. The Encyclopedia of Medicinal Plants. London, UK: Dorling Kindersley, Ltd., 1996.
- Bernstein DI, Bernstein CK, Deng C, et al. Evaluation of the clinical efficacy and safety of grapeseed extract in the treatment of fall seasonal allergic rhinitis: a pilot study. Ann Allergy Asthma Immunol 2002;88:272-8.. PubMed
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