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Grapes are the fruit of grapevines. Vitis vinifera and Vitis labrusca are two common grapevine species. Vitis labrusca is commonly known as Concord grape. The whole fruit, skin, leaves, and seed of the grape plant are used as medicine.

Grape is used for poor circulation that can cause the legs to swell (chronic venous insufficiency or CVI) or for eye stress. Various grape products are also commonly used for diseases of the heart and blood vessels, other eye problems, gastrointestinal health, and many other conditions. But there is no good scientific evidence to support these uses.

Natural Medicines rates effectiveness based on scientific evidence according to the following scale: Effective, Likely Effective, Possibly Effective, Possibly Ineffective, Likely Ineffective, Ineffective, and Insufficient Evidence to Rate.
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Info

Grape contains flavonoids, which can have antioxidant effects, lower the levels of low density lipoproteins (LDLs, or "bad cholesterol"), relax blood vessels, and reduce the risk of coronary heart disease. The antioxidants in grape might help to prevent heart disease and have other potentially beneficial effects. Red grape varieties provide more antioxidants than white or blush grape varieties.

Grape leaf might reduce inflammation and have astringent effects. In other words, grape leaf seems to be able to draw tissue together, which could help stop bleeding and diarrhea. These properties appear to be greatest in the red leaves.

When taken by mouth: Grape is LIKELY SAFE when consumed in amounts commonly found in foods.

It is POSSIBLY SAFE to take the fruit of the grape plant, or the extract of the fruit, leaf, or seed, in medicinal amounts. Grape seed extracts and grape fruit extracts have been used safely in studies for up to 12 months. A grape leaf extract has been used safely in studies for up to 12 weeks. Eating large quantities of grapes, dried grapes, raisins, or sultanas might cause diarrhea. Some people have allergic reactions to grapes and grape products. Some other potential side effects include stomach upset, indigestion, nausea, vomiting, cough, dry mouth, and headache.

When applied to the skin: Grape seed oil is POSSIBLY SAFE when applied to the skin for up to 3 weeks. There isn't enough reliable information to know if other parts of grape are safe when applied to the skin.

Special Precautions & Warnings:

Pregnancy and breast-feeding: There isn't enough reliable information to know if grape is safe to use in medicinal amounts when pregnant or breast-feeding. Stay on the safe side and avoid using more than amounts normally found in foods.

Children: Grape is LIKELY SAFE when consumed in amounts commonly found in foods. But keep in mind that, due to its size and shape, whole grapes are a potential choking hazard for children aged 5 years and younger. To reduce the risk, whole grapes should be cut in half or quartered before being served to children. There isn't enough reliable information to know if grape is safe to use in amounts greater than those found in foods.

Bleeding conditions: Grape might slow blood clotting. Taking grape might increase the chances of bruising and bleeding in people with bleeding conditions. However, there are no reports of this occurring in humans.

Surgery: Grape might slow blood clotting. It might cause extra bleeding during and after surgery. Stop using medicinal amounts of grape at least 2 weeks before a scheduled surgery.

Medications changed by the liver (Cytochrome P450 1A2 (CYP1A2) substrates)

Interaction Rating=Moderate Be cautious with this combination.

Some medications are changed and broken down by the liver.

Grape juice might increase how quickly the liver breaks down some medications. Taking grape along with some medications that are changed by the liver can decrease the effectiveness of some medications. Before taking grape talk to your healthcare provider if you take any medications that are changed by the liver.

Some of these medications that are changed by the liver include clozapine (Clozaril), cyclobenzaprine (Flexeril), fluvoxamine (Luvox), haloperidol (Haldol), imipramine (Tofranil), mexiletine (Mexitil), olanzapine (Zyprexa), pentazocine (Talwin), propranolol (Inderal), tacrine (Cognex), theophylline, zileuton (Zyflo), zolmitriptan (Zomig), and others.

Phenacetin

Interaction Rating=Moderate Be cautious with this combination.

The body breaks down phenacetin to get rid of it. Drinking grape juice might increase how quickly the body breaks down phenacetin. Taking phenacetin along with grape juice might decrease the effectiveness of phenacetin.

Warfarin (Coumadin)

Interaction Rating=Moderate Be cautious with this combination.

Warfarin (Coumadin) is used to slow blood clotting. Grape seed might also slow blood clotting. Taking grape seed along with warfarin (Coumadin) might increase the chances of bruising and bleeding. Be sure to have your blood checked regularly. The dose of your warfarin (Coumadin) might need to be changed.

Herbs and supplements that might slow blood clotting: Grape extracts might slow blood clotting. Taking grape extracts along with herbs that also slow clotting might increase the chances of bruising and bleeding. These herbs include angelica, clove, danshen, garlic, ginger, ginkgo, Panax ginseng, red clover, willow, and others.
Vitamin C: Early research suggests that taking vitamin C and grape seed polyphenols daily may increase blood pressure in people with high blood pressure. This doesn't seem to happen when either vitamin C or grape seed polyphenols are taken alone. Researchers don't know yet why this happens.

There are no known interactions with foods.

The following doses have been studied in scientific research:

ADULTS
BY MOUTH:

  • For poor circulation that can cause the legs to swell (chronic venous insufficiency or CVI): A standardized red vine grape extract knows as AS 195 360 mg or 720 mg once daily for 6 to 12 weeks has been used.

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