Flavonols

PhytochemicalFlavonoidBest with a meal

What is it

Flavonols are a subclass of flavonoids with a 3-hydroxyflavone backbone. Major members include quercetin, kaempferol, myricetin, and isorhamnetin. They are abundant in onions, kale, broccoli, berries, and tea.

Evidence for 2 uses

AI-assisted evidence assessment — talk to your doctor before relying on any single supplement.

Cardiovascular markers

Good Evidence

Cohort studies and small RCTs show flavonol-rich diets reduce blood pressure and cardiovascular risk.

Seasonal allergies (quercetin)

Limited Evidence

Small RCTs suggest modest histamine-stabilizing effects; evidence not robust.

How it works

Flavonols are absorbed mainly as their aglycones after gut microbial deglycosylation. They are potent antioxidants in vitro, modulate cell signaling (NF-kB, AMPK), inhibit mast-cell histamine release (quercetin), and support endothelial function. Habitual dietary flavonol intake correlates with lower cardiovascular mortality in cohort studies. Quercetin is the most-studied isolated flavonol supplement.

Dosage

Quercetin: 500-1000 mg/day. Mixed flavonol supplements: 200-500 mg/day. Whole-food intake estimated at 20-50 mg/day in typical Western diets.

When and how to take it

Take with meals; some evidence for enhanced absorption with bromelain or fat.

2 commercial forms

Compare the main delivery options and what they’re best suited for.

Quercetin dihydrate

Standard supplement form.

Low absorption (<5%) without enhancement.

Quercetin phytosome (Quercefit)

Preferred for clinical doses.

10-20x higher absorption than standard.

Safety

Whole-food flavonols are very safe. High-dose quercetin supplements (>1 g) may cause headache, GI upset, and at very high doses transient kidney effects.

Who should be cautious

Patients on CYP3A4 substrates or P-gp substrates should consult a pharmacist before high-dose flavonol supplements.

Interactions

Quercetin can inhibit CYP3A4 and P-glycoprotein at high doses, affecting medications like cyclosporine, digoxin, and certain statins.

Food sources

Red onion (1 medium)

Amount
~50-100 mg quercetin
%DV

Kale (1 cup)

Amount
~20-40 mg flavonols
%DV

Berries (1 cup)

Amount
~10-30 mg flavonols
%DV

Frequently asked questions

Is quercetin worth taking?

Whole-food sources have stronger epidemiology. High-dose supplements have specific niche uses (allergies, exercise inflammation).

Do flavonol supplements interact with drugs?

At high doses, yes, especially with CYP3A4 substrates. Consult a pharmacist.

References

Flavonols on WikidataWikidata link

Flavonols (ChEBI:28802)ChEBI link

Flavonols on NIH DSLD (US supplement label database)NIH Dietary Supplement Label Database link

Research on Flavonols (PubMed search)PubMed link

Track Flavonols with Pilora

Set up dose reminders, check interactions, and join the community in the Pilora iPhone app.

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Evidence-based·How we grade evidence

Disclaimer: These statements have not been evaluated by the FDA. This page is educational, not a substitute for personalized medical advice. Evidence grades are AI-assisted assessments — talk to your doctor before starting any new supplement, especially if you’re pregnant, breastfeeding, on medications, or managing a chronic condition.