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Grape seed extract

Vitis vinifera

Supplements. Modern nutrition and Western & European.

Also called OPC (oligomeric proanthocyanidins), Proanthocyanidins, Grape seed polyphenols

Spanish: Semilla de uva

May add to bleeding risk

A concentrated extract of grape seeds, sold for blood pressure and heart health, with weak to mixed evidence.

Did you know? Grape seeds are rich in tannins, the same drying compounds that make red wine taste dry and bitter.

What it may help, and how strong the proof is

  • Blood pressure. A few trials and reviews show small drops in blood pressure. Effects are small, and results vary.
    Early proof
  • Cholesterol. Small trials show modest changes in cholesterol, but results are inconsistent.
    Early proof

Parts of the body

Heart & vessels, Liver

Traditional use

Grape seeds have little history in folk medicine. The supplement became popular in the 1990s, partly from interest in the 'French paradox' linking red wine to heart health.

How it is classified

Herbal actions
Antioxidant, Circulatory. Energy: neutral.

How people take it

Studies often use 100 to 300 mg of grape seed extract a day, split into doses. Most trials last a few weeks to a few months.

Capsule, tablet and powder.

Where to get it

Made from the skins and seeds left over after juice or wine is pressed (called pomace). Extracts are made worldwide and sold as capsules, tablets, and powders.

Be careful

Usually well tolerated. Possible side effects include dry mouth, headache, upset stomach, and nausea. It may add to bleeding risk and lower blood pressure, and long-term safety data are limited.

Avoid if: pregnancy; breastfeeding; bleeding disorders; before surgery; low blood pressure; children under 12.

Mixing with other things

  • Works well together

    Both are proanthocyanidin-rich extracts with similar uses for blood vessels.

  • Works well together

    Both are polyphenol-rich extracts sold for circulation and eye health.

  • Use caution
    Blood thinners (warfarin, Eliquis, Xarelto, Plavix, daily aspirin)

    May add to bleeding risk with warfarin, aspirin, and similar drugs.

  • Use caution
    Blood pressure medicine (lisinopril, amlodipine, losartan)

    May lower blood pressure, so it can add to blood pressure medicines.

Adds up with others that may slow blood clotting: , , , , , , , , , , , , , and 40 more.

Adds up with others that may lower blood pressure: , , , , , , , , , , , , , and 12 more.

The honest take

Grape seed extract has a few small human trials on blood pressure and cholesterol, with inconsistent results. It is an antioxidant in the lab, but antioxidant pills have not been shown to prevent heart disease or cancer. Tell your doctor if you take blood thinners or blood pressure medicines.