Skip to content

Are there any side effects to taking tart cherries?

3 min read

Over 110 studies have been published on the health benefits of Montmorency tart cherries, but while they are generally considered safe, some individuals may experience side effects. Before incorporating this supplement into your routine, it is essential to understand potential risks like gastrointestinal upset, interactions with certain medications, and impacts on blood sugar levels.

Quick Summary

Potential side effects of consuming tart cherries or their products include gastrointestinal discomfort, such as diarrhea, stomach cramps, and nausea, and allergic reactions. There are also risks of medication interactions and blood sugar elevation, making it crucial to consult a healthcare provider before use, especially for those with existing health conditions.

Key Points

  • Gastrointestinal Upset: Tart cherries and their juice contain sorbitol, a sugar alcohol that can cause diarrhea, gas, and stomach cramps, especially in high doses.

  • Medication Interactions: Tart cherry supplements can interact with blood thinners, blood pressure medication, and corticosteroids; consultation with a doctor is necessary.

  • Blood Sugar Impacts: Tart cherry juice contains natural sugars that can affect blood sugar levels, which is a concern for individuals with diabetes or those managing their glycemic intake.

  • Precautionary Populations: Pregnant or breastfeeding women, individuals with kidney disease, and young children should be cautious with or avoid tart cherry supplements.

  • Allergic Reactions: Though rare, some people may experience allergic symptoms like itching, swelling, or hives when consuming cherries.

  • Whole Fruit is Safer: Consuming whole tart cherries, which contain fiber, is generally a safer alternative with less risk of gastrointestinal side effects compared to juice or concentrate.

  • Start Slow: To minimize side effects, begin with a small serving and gradually increase intake while monitoring your body's response.

In This Article

Understanding the Potential Side Effects of Tart Cherries

While tart cherries are celebrated for their rich antioxidant content and potential health benefits, they are not without possible side effects. Most of these issues are minor and occur with high doses, but they are important to be aware of, especially for individuals with pre-existing health conditions or those taking certain medications. This article will explore the common and less frequent side effects, precautions for certain populations, and key takeaways for safe consumption.

Common Gastrointestinal Distress

One of the most frequently reported side effects of taking tart cherry products is gastrointestinal discomfort. This is primarily due to the presence of sorbitol, a sugar alcohol found naturally in cherries. Sorbitol can be difficult for some people to digest, particularly in large quantities, leading to digestive issues.

  • Diarrhea: Excessive consumption of tart cherry products can have a laxative effect.
  • Abdominal Pain and Cramping: High polyol content can cause stomach cramps, bloating, and gas, especially in those with Irritable Bowel Syndrome (IBS).
  • Nausea and Vomiting: While less common, these symptoms can occur, particularly when first using a concentrated product.

Starting with smaller servings and gradually increasing intake can help. Whole fruit, with its fiber, can also be easier to digest than juice or concentrates.

Potential Drug Interactions

Tart cherry products can interact with certain medications, making consultation with a healthcare provider essential if you are on medication. The risk is generally higher with concentrated forms. Tart cherries contain compounds that may affect blood clotting and interact with blood thinners like warfarin. They are also rich in potassium, which can affect blood pressure medications such as ACE inhibitors and beta-blockers. Additionally, melatonin in tart cherries may interact with certain medications, including antidepressants and benzodiazepines. Their anti-inflammatory properties might interact with corticosteroids.

Impacts on Blood Sugar Levels

The sugar content of tart cherry juice and concentrates is a consideration for individuals managing blood sugar. Tart cherry juice contains natural sugar, primarily fructose, which can cause a blood sugar spike, particularly when fiber is removed in juice form. Some commercial juices may also contain added sugars. Those with diabetes should consider unsweetened 100% juice and monitor blood sugar, or opt for whole fruit.

Potential Side Effects of Tart Cherry Products

Type of Product Sugar Content Gastrointestinal Effects Medication Interactions Considerations
Whole Tart Cherries Moderate (natural) Lower risk due to fiber Minimal risk Recommended for those with GI sensitivity
100% Tart Cherry Juice High (natural) Moderate risk, due to sorbitol Low to moderate risk Check label for no added sugar
Concentrate or Powder High (natural) Higher risk, especially with large doses Higher risk, especially with blood thinners Consult a doctor, particularly if on medication
Supplements (Capsules) None (typically) Lower risk Moderate to high risk Consult a doctor

Allergic Reactions

Allergic reactions to cherries are uncommon but possible. Individuals with birch pollen allergies may be more susceptible due to cross-reactivity. Symptoms like hives, itching, swelling, or difficulty breathing require immediate medical attention.

Who Should Exercise Caution?

Certain groups should be cautious or avoid tart cherry supplements. This includes individuals with kidney disease due to high potassium content, pregnant and breastfeeding women due to limited safety data, toddlers and young children, and those with IBS due to sorbitol content.

Conclusion

While tart cherries offer benefits, potential side effects exist. Gastrointestinal issues from sorbitol are common, especially with concentrated products. Drug interactions and blood sugar impacts are also concerns for some individuals. Weighing benefits against risks and consulting a healthcare professional before supplementation is crucial for safe consumption. Whole fruit is often the safest option.

A Balanced Approach to Tart Cherry Consumption

To minimize risk and maximize benefits, start with low doses, monitor your body, and choose 100% pure, unsweetened juice or whole fruit. For those with health conditions or on medication, a healthcare provider consultation is vital. {Link: OSF Healthcare https://www.osfhealthcare.org/blog/tart-cherry-juice-benefits-do-they-live-up-to-the-hype}

Additional Considerations for Athletes

While used for muscle recovery, high-dose, long-term supplementation might potentially impact exercise adaptations during the off-season. Further research is needed. Discuss this with a doctor or sports nutritionist.

Frequently Asked Questions

Yes, tart cherry juice can cause diarrhea in some people. This is due to the natural presence of sorbitol, a sugar alcohol that can have a laxative effect when consumed in high quantities.

Yes, tart cherry products, especially in supplement form, can interact with certain blood pressure medications, such as ACE inhibitors and beta-blockers. It's crucial to speak with a healthcare provider before use if you are on these medications.

Tart cherry juice and concentrates contain a significant amount of natural sugar that can impact blood glucose levels. Individuals with diabetes should choose 100% unsweetened juice and monitor their intake, or consume the whole fruit which contains fiber.

While consuming whole tart cherries as part of a regular diet is likely safe during pregnancy, there is insufficient evidence on the safety of supplemental forms like extracts or concentrates. Out of caution, it is recommended to avoid supplements and consult a doctor.

Tart cherries contain compounds that may affect blood clotting. While the interaction risk is often minimal with juice, it increases with high-dose supplements. Always consult your doctor if you take blood-thinning medications.

Individuals with kidney disease, diabetes, or known allergies to cherries should be cautious or avoid tart cherry supplements. Those on blood thinners, blood pressure medication, or who are pregnant or breastfeeding should also consult a doctor first.

The primary reason for stomach upset is the high sorbitol content, a sugar alcohol that is not easily digested by everyone, especially in large doses from juice or concentrate.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.