Guaraná
Evidence Fact Sheet
Paullinia cupana
Guaraná (Paullinia cupana) is a caffeine-rich Amazonian seed extract studied as a natural stimulant and polyphenol source. Human evidence spans cancer-related fatigue (meta-analysis and RCTs, largely null), acute cognition (small response-time effect), and cycling performance. Lawful supplement; total caffeine caps apply.
Also known as: Paullinia cupana · Guarana · Guaranine · Brazilian cocoa · Amazon natural caffeine · PC-18 (purified dry extract)
Overview
Guaraná is the seed of Paullinia cupana, an Amazonian climbing plant native to Brazil, valued for one of the highest natural caffeine contents of any plant alongside a procyanidin/catechin polyphenol matrix. Mechanistically, its caffeine antagonizes A1/A2A adenosine receptors and inhibits phosphodiesterase, while the polyphenol complex is proposed to slow caffeine release and add antioxidant activity. Research-context dosing ranges from 37.5-300 mg full-spectrum extract for acute cognition, 50-75 mg/day standardized extract in cancer-fatigue trials, and ~200-500 mg pre-exercise, with traditional Brazilian use of 0.5-2 g/day seed powder. Regulatory status is a lawful dietary-supplement and GRAS caffeine source in the US, a non-Novel food supplement in the EU (no guarana-specific health claim), and a fully established traditional ingredient in Brazil under ANVISA; total caffeine must stay under 400 mg/day for adults (200 mg/day in pregnancy) and concentrated extract is not for children.
Mechanism of Action
Caffeine antagonizes A1/A2A adenosine receptors, reducing the sleep-promoting / fatigue signaling that lowers alertness (research-context mechanism) · Phosphodiesterase inhibition by methylxanthines (caffeine, theobromine, theophylline) raising intracellular cAMP (mechanistic) · Polyphenol matrix (procyanidins B1-B4, catechin, epicatechin) forms a slow-release complex with caffeine, proposed to flatten the peak-and-crash curve seen with isolated caffeine (mechanism / pharmacokinetic hypothesis) · Free-radical scavenging / antioxidant activity of catechins and procyanidins in mechanistic and ex-vivo work (e.g., reduced LDL oxidation) · Promotion of fat oxidation and thermogenesis, studied mainly in caffeine + green-tea co-formulations (research-context) · Platelet-aggregation inhibition and MAO modulation reported in preclinical / mechanistic studies
Body systems: Neurological & Cognitive · Mood & Stress Response · Musculoskeletal · Cardiovascular · Endocrine & Metabolic · Immune System
Evidence-Based Benefits
Each benefit below is anchored to a specific PubMed-indexed study. Effect sizes, sample sizes, and p-values are reported as published; no values are inferred. Honest negatives and null results are kept alongside the positive findings, and disease-research populations are described as such — Guaraná is not characterized as a treatment for any disease.
Cancer-related fatigue (pooled evidence)
Null / no benefit Meta-analysis supported- -0.02fatigue MD · p=0.98
- 427cancer patients pooled
A systematic review with meta-analysis of guarana for cancer-related fatigue pooled three RCTs and found no reduction in fatigue versus placebo, with very low GRADE quality of evidence. This is an honest null: despite traditional energizing use, pooled human data do not show benefit in this population.
Reported effect: Mean difference -0.02 (95% CI -1.54, 1.50); p = 0.98; 427 cancer patients; quality of evidence very low (GRADE)
“The use of guarana did not reduce cancer-related fatigue compared with placebo groups (mean of - 0.02 [95% CI - 1.54, 1.50]; p = 0.98) and the quality of evidence according to GRADE was very low.”
Source: PMID 34146166 · de Araujo 2021 · Support Care Cancer
Post-radiation fatigue & depression (breast cancer RCT)
Null / no benefit RCT supported- 36breast-cancer patients
- 75 mg/dayguaraná dose
A double-blind randomized crossover trial in breast-cancer patients undergoing adjuvant radiation found no statistically significant advantage of guaraná over placebo for either fatigue or depressive symptoms on any measured score. A clear negative result for radiation-related fatigue.
Reported effect: 36 patients; guaraná 75 mg daily vs placebo; no statistically significant differences on any measured score
“We were unable to show that patients with breast cancer undergoing radiation therapy derive any advantage with guaraná over placebo for both fatigue and depressive symptoms.”
Source: PMID 19388866 · Miranda 2009 · J Altern Complement Med
Chemoradiotherapy fatigue & quality of life (head & neck RCT)
Null / no benefit RCT supported- 60head & neck patients
- 50 mg twice dailyguarana dose
- p=0.0054QOL worsened · overall
A placebo-controlled double-blind RCT of dry guarana extract during chemoradiotherapy for head and neck tumors did not improve fatigue, and the guarana group showed significantly worsened overall quality of life after the second chemotherapy cycle. The authors concluded guarana was not beneficial for this population.
Reported effect: 60 patients; guarana 50 mg twice daily; significant QOL worsening in guarana group after second chemotherapy cycle (overall p = 0.0054, functional p = 0.018, symptom p = 0.0042)
“We propose that guarana is not beneficial for this patient population.”
Source: PMID 27322597 · Martins 2017 · J Diet Suppl
Acute cognitive performance (response time)
Meta-analysis supported- g = 0.202response time · p=0.005
- g = 0.076overall · p=0.14
- 328participants · 8 studies
A random-effects meta-analysis of eight placebo-controlled studies (328 participants) found that acute guarana ingestion produced a small but significant improvement in cognitive response time (faster performance) without affecting accuracy; the overall pooled cognitive effect was less than trivial and non-significant. A nuanced positive: speed, not accuracy.
Reported effect: 8 placebo-controlled studies, 328 participants; overall Hedge's g = 0.076 (p = 0.14); response time g = 0.202 (p = 0.005); accuracy g = -0.077 (p = 0.4)
“Acute guarana ingestion had a small effect on the response time (faster performance) during a variety of cognitive tasks without affecting the accuracy.”
Source: PMID 36678305 · Hack 2023 · Nutrients
Cycling time-trial performance
RCT supported- ES = 0.18guaraná vs placebo · p=.046
- 241.4 vs 232.1 kJwork · GUA vs placebo
- 11endurance-trained
In a crossover RCT of 11 endurance-trained cyclists, 500 mg guarana (130 mg caffeine) improved 15-minute time-trial work versus placebo, while an equivalent isolated low-dose caffeine arm did not differ from guarana — suggesting a non-caffeine polyphenol contribution. The authors note the effect was trivial to small.
Reported effect: 11 participants; guarana work 241.4 ± 39.9 kJ vs placebo 232.1 ± 46.6 kJ; effect size = 0.18 (95% CI 0.003, 0.355), p = .046; caffeine arm not different from guarana
“Work performance favored (effect size = 0.18; 95% confidence interval [0.003, 0.355], p = .046) GUA (241.4 ± 39.9 kJ) versus P (232.1 ± 46.6 kJ), but CAF (232.3 ± 43.9) was not different from GUA.”
Source: PMID 37898479 · Penna 2023 · Int J Sport Nutr Exerc Metab
Dosage (research context · not a recommendation)
Research-context dosing varies by endpoint and form. Cancer-related fatigue RCTs used 50-75 mg/day of standardized purified dry extract (PC-18 / ~22% caffeine; ≈11-16 mg caffeine) over ~21 days. Acute cognitive RCTs used 37.5-300 mg full-spectrum extract (≈8-66 mg caffeine), where low doses were as or more effective than high doses — suggesting a non-caffeine (procyanidin/catechin) contribution. Thermogenesis/weight studies used 200-400 mg/day, usually combined with green tea. Cycling-performance RCTs used ~200-300 mg pre-exercise. Traditional Brazilian use is 0.5-2 g/day seed powder brewed in water. Total caffeine from ALL sources should stay <400 mg/day (adults) / <200 mg/day (pregnancy) — guarana carries 2-3x the caffeine of coffee beans, so the dose must always be converted to total caffeine. Educational reference only, not a dosing recommendation.
Regulatory Status · 4 Markets
- US · FDA
- Lawful dietary-supplement ingredient under DSHEA (pre-DSHEA use history — marketed in the US before 1994, so no NDI notification required) and a self-affirmed GRAS natural caffeine source for food/beverage use; never 'FDA approved'. Structure/function claims only, with the mandatory DSHEA disclaimer and 30-day FDA notification. No disease claims. FDA warning-letter precedent against marketing high-caffeine products to children.
- EU · EFSA
- Traditional food ingredient, NOT a Novel Food (long EU use history); Paullinia cupana seed is on the BELFRIT (Belgium-France-Italy) botanical list and is marketable as a food supplement under Directive 2002/46/EC (member-state botanical lists vary). Guarana itself has NO authorized Article 13/14 health claim. However, products delivering ≥75 mg caffeine per serving may use the EFSA-authorized caffeine claims ('Caffeine contributes to increased alertness' / 'to an increase in endurance performance'). Beverages with caffeine ≥150 mg/L must carry the 'High caffeine content. Not recommended for children or pregnant or breast-feeding women' label (Reg (EU) 1169/2011). EFSA 2015 caffeine safe upper limit: 400 mg/day adults, 200 mg/day pregnancy.
- BR · ANVISA
- Fully established in Brazil (origin country): a traditional food ingredient and an authorized dietary-supplement constituent under RDC 243/2018 + IN 28/2018 (Paullinia cupana seed), and a Traditional Herbal Product under RDC 240/2018 Annex I. Dietary-supplement caffeine cap is 420 mg per daily serving (all sources). Mandatory caffeine-content labeling plus the warning 'Contém cafeína. Não recomendado para crianças, gestantes, lactantes e pessoas sensíveis à cafeína'. Traditional-use claims only (no disease claims). No Anexo V functional health claim specific to guarana. [China NMPA, for reference: not approved — absent from novel-food, health-food, and medicine-food-homology lists; only compliant C-end channel is cross-border e-commerce with no functional claims and mandatory caffeine declaration on the Chinese label.]
Safety
Generally well tolerated within studied ranges; decades of population-level consumption in Brazil (Guaraná Antarctica is the country's #2 soft-drink brand). Adverse effects are caffeine-mediated — insomnia, palpitations, jitteriness, GI upset — and become more likely at high extract doses (>500 mg/day). Two HARD safety limits apply across markets: (1) total caffeine <400 mg/day for adults and <200 mg/day in pregnancy (FDA/EFSA/Health Canada/ACOG consensus); products must convert the guarana dose to total caffeine and disclose it; (2) concentrated guarana extract is contraindicated in children (<18). Caution in hypertension, arrhythmia, and cardiovascular disease (additive stimulant risk). Documented interactions: MAO inhibitors, other CNS stimulants, warfarin/CYP1A2 substrates, and lithium (caffeine diuresis can affect lithium levels) — all caffeine-mediated. Stacking with coffee, tea, energy drinks, or cola can exceed the daily caffeine ceiling. Not for pregnant/breastfeeding women without medical guidance.
References
PubMed-indexed citations anchoring the benefit findings above. Effect sizes are reported as published.
- PMID 34146166 · de Araujo 2021 · Support Care Cancer — Cancer-related fatigue (pooled evidence)
- PMID 19388866 · Miranda 2009 · J Altern Complement Med — Post-radiation fatigue & depression (breast cancer RCT)
- PMID 27322597 · Martins 2017 · J Diet Suppl — Chemoradiotherapy fatigue & quality of life (head & neck RCT)
- PMID 36678305 · Hack 2023 · Nutrients — Acute cognitive performance (response time)
- PMID 37898479 · Penna 2023 · Int J Sport Nutr Exerc Metab — Cycling time-trial performance
Frequently Asked Questions
1. Does guaraná help with cancer-related fatigue?
The pooled human evidence does not support it. A 2021 meta-analysis (de Araujo, PMID 34146166) of 427 cancer patients found a mean difference of -0.02 (p = 0.98) — essentially no effect — and rated the evidence very low quality. Two individual RCTs (Miranda 2009, PMID 19388866; Martins 2017, PMID 27322597) likewise found no benefit. This is reported as a research finding, not treatment guidance.
2. Can guaraná improve mental performance or alertness?
A 2023 meta-analysis of 8 studies (328 participants; Hack, PMID 36678305) found acute guarana produced a small, significant improvement in cognitive response time (Hedge's g = 0.202, p = 0.005) — i.e. faster reactions — but no effect on accuracy and a less-than-trivial overall effect (g = 0.076, p = 0.14). The benefit, where present, is on speed rather than correctness.
3. Is the benefit just from caffeine?
Not entirely, based on one exercise trial. In a cycling time-trial RCT (Penna 2023, PMID 37898479), 500 mg guarana improved work output versus placebo (effect size 0.18, p = .046), while an isolated low-dose caffeine arm did not differ from guarana — pointing to a possible non-caffeine polyphenol contribution. The authors still describe the effect as trivial to small.
Last evidence review: 2026-06-27