Caffeine antagonizes adenosine
Enhanced cardiovascular/CNS effects
Caffeine increases lithium excretion
Additive stimulation
CYP1A2 inhibition increases caffeine levels
All caffeine interactions apply (see Caffeine monograph). Key ones:
Not Prohibited (but caffeine monitoring threshold applies)
Haskell CF et al. A double-blind, placebo-controlled study evaluating the cognitive and mood effects of guarana.
Kennedy DO et al. Improved cognitive performance in human volunteers following administration of guarana.
Independently graded against 173,636 indexed supplements with 177 published clinical interactions, sourced from PubMed, FDA CAERS, openFDA, and NIH DSLD | Last updated: April 2026
Not medical advice. Based on published clinical research and systematic reviews.