Cranberry

Cranberry Extract (PACs)
Also known as: Cranberry extract, Proanthocyanidins, PACs
Food-Derived

Content by: OpenSupplement Editorial Team  |  Medical review: pending  |  Last updated: April 13, 2026

Supplement Score
Cranberry36 mg PACs/day (standardized extract) | $10-18/mo
Safety5
Interactions3
Cost4
Evid.Onset
Kidney disease
3.53
3 PubMed references cited
4–5 Strong2–3 Emerging1 Weak|Methodology

TL;DR

  • Fruit extract used to prevent urinary tract infections (UTIs)

  • High evidence for reducing UTI recurrence in women

  • Low evidence for 'treating' an active UTI (does not kill bacteria)

  • Works by preventing bacteria (E. coli) from sticking to the bladder wall

  • Excellent safety profile

  • Cost: ~$10-15/month

  • Best for: Chronic UTI prevention

What it is

Cranberries contain unique antioxidants called Proanthocyanidins (PACs). These molecules act like a 'non-stick coating' for your bladder. They don't kill the bacteria like an antibiotic; instead, they prevent the bacteria from taking hold, allowing them to be flushed out naturally.

What the research says

Relevance: High
Typical dose: 36 mg PACs/day (standardized extract)

Strong evidence from Cochrane reviews supports cranberry for recurrent UTI prevention, particularly in women [ref1][ref2]. The 2023 Cochrane update confirmed sustained benefits, with PAC standardization being crucial — not all cranberry products contain adequate levels. The Fu meta-analysis showed 26% reduction in UTI recurrence risk with consistent use. [1][2][3]

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Cranberry on Amazon

$10-18/mo (estimated)
See on Amazon

Safety

Extremely safe. Juice is high in sugar, so concentrated capsules are the preferred medicinal form.

Interactions

  • Warfarin: High doses of cranberry may increase the blood-thinning effect.

Dosing

Standard Dose: 500-1,000 mg of fruit extract daily. Form: Ensure the product contains at least 36mg of PACs (Proanthocyanidins) for clinical effectiveness.

Cost

Affordable. $10-15 per month.

The bottom line

Cranberry is a prevention tool, not a cure. If you get frequent UTIs, it's a highly effective, low-risk way to break the cycle.

References

  1. CochraneKidney diseasePubMed
  2. Meta-analysisKidney diseasePubMed
  3. CochraneKidney diseasePubMed

Sources for this page include published meta-analyses, systematic reviews, and NIH dietary supplement fact sheets. All claims reflect the evidence as of early 2026.

This is not medical advice. Consult your healthcare provider before starting any supplement, especially if you take medications.