Piceatannol for Health & Longevity - Quick Reference Sheet

Piceatannol for Health & Longevity

Created on 09/26/2026 – Quick Reference based on Evidence Review created using AI4L / Opus 5.5 – Audit

Piceatannol, a plant compound related to resveratrol and richest in passion fruit seeds, is sold as a dietary supplement for longevity. Human evidence is thin: small, short trials, mostly backed by the extract's maker, report moister skin and fewer visible wrinkles in women with dry skin; broader health effects are unproven. Longer-life claims rest entirely on animal and cell research. Short-term use appears well tolerated; longer-term safety is unknown. (Full Review)

Protocol

Metabolic protocol
20 mg/day
In capsules for 8 weeks; the regimen behind the insulin-sensitivity and blood pressure findings in overweight men
Skin protocol
5–10 mg/day
As passion fruit seed extract for 8 weeks; both skin trials dosed in the evening
Higher-dose short course
100 mg/day
Split into three servings for 2 weeks; used only in the SIRT1 biomarker trial, with no longer-term data
Time to effect
Skin hydration
4–8 weeks
Skin hydration changes in women with dry skin
Metabolic changes
8 weeks
Insulin sensitivity and blood pressure in overweight men; no benefit measured beyond 8 weeks
Blood SIRT1
Within 1 week
Induction faded by week 2 at 100 mg/day

Benefits

Contraindications
  • Pregnant or breastfeeding women
  • Children and adolescents under 18 years
  • Active hormone-sensitive cancer (estrogen-receptor-positive breast, endometrial or ovarian cancer) or on endocrine therapy
  • Organ-transplant recipients and others on systemic immunosuppressants
  • Known passion fruit, grape or latex allergy (for passion fruit seed extracts)
  • Moderate-to-severe liver impairment (Child-Pugh Class B or C) or advanced kidney disease (eGFR <30 mL/min/1.73 m²)
  • Within 14 days before elective surgery
Key Interactions
  • Glucose-lowering drugs (metformin, glimepiride, insulin): monitor
  • COMT-dependent Parkinson's therapy (levodopa/carbidopa, entacapone, opicapone): caution
  • Drugs cleared by UGT1A6/1A9 (mycophenolate mofetil, propofol, deferiprone): caution
  • Syk inhibitors (fostamatinib): caution
  • Hormone therapies (estradiol): caution
  • Anticoagulants and antiplatelets (warfarin, apixaban, clopidogrel): monitor
  • Antihypertensives (amlodipine, lisinopril, losartan): monitor
  • Acetaminophen (paracetamol): monitor
  • NSAIDs (aspirin, ibuprofen, naproxen): monitor
  • Resveratrol and pterostilbene: monitor
  • Green tea catechins (EGCG) and quercetin: monitor
  • Berberine, chromium, cinnamon extract: monitor
  • Fish oil, ginkgo, high-dose vitamin E: monitor
  • Magnesium, beetroot nitrate, garlic extract: monitor
  • Endurance or strength training: monitor

Risk & Side Effects

  • High:
  • Medium:
  • Low: Mild urticaria
  • Speculative: Immune suppression; pro-oxidant & DNA-damaging metabolites; mitochondrial energy inhibition; estrogen-like activity; excess glucose lowering

Monitoring

Marker Target Why
Fasting glucose 75–90 mg/dL Detects glucose lowering or hypoglycemia
Fasting insulin 2–6 µIU/mL Tracks insulin sensitivity response
HOMA-IR Below 1.0 Primary outcome in the metabolic trial
HbA1c 4.8–5.4% 3-month glucose average
Home blood pressure Below 120/80 mmHg Tracks reported blood pressure lowering
Resting heart rate 50–70 beats/min Tracks reported heart rate lowering
ALT and AST Below 25 U/L each Liver safety
eGFR Above 90 mL/min/1.73 m² Kidney clearance of conjugates
hs-CRP Below 1.0 mg/L Systemic inflammation
Skin hydration No established target; track change from own baseline Skin outcome with the most trial support

Cadence: Baseline before starting; at 4 weeks (fasting glucose and home blood pressure); at 8–12 weeks (full baseline panel); then every 6–12 months during continued use

Qualitative Assessment

  • Skin dryness, texture and fine-wrinkle appearance
  • Daytime energy and fatigue
  • Digestive tolerance (gastric discomfort, diarrhea)
  • Skin reactions such as urticaria or itching
  • Unusual bruising or bleeding
  • Dizziness or light-headedness on standing