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URL of this page: https://medlineplus.gov/druginfo/natural/1261.html

Coconut Water

What is it?

Coconut water is the clear liquid found inside immature coconuts (Cocos nucifera). As the coconut matures, the water is replaced by coconut meat.

Coconut water is rich in carbohydrates and electrolytes such as potassium, sodium, and magnesium. Because of these electrolytes, there’s a lot of interest in using coconut water to treat and prevent dehydration. Coconut water is sometimes called green coconut water because the immature coconuts are green.

People commonly use coconut water as a beverage and as a solution for treating dehydration related to diarrhea or exercise. It’s also used for high blood pressure and athletic performance, but there is no good scientific evidence to support these uses.

Don’t confuse coconut water with coconut or coconut oil. These are not the same. Also, coconut water is different than coconut milk. Coconut milk is made from a mixture of the grated meat of a mature coconut.

How effective is it?

There is interest in using coconut milk for a number of purposes, but there isn’t enough reliable information to say whether it might be helpful.

Is it safe?

When taken by mouth: Coconut water is commonly consumed as a drink and is likely safe. It’s usually well-tolerated.

Special precautions & warnings:

Pregnancy and breast-feeding: Coconut water is commonly consumed as a drink. There isn't enough reliable information to know if coconut water is safe to use as medicine when pregnant or breast-feeding. Stay on the safe side and avoid use.

Children: Coconut water is commonly consumed as a drink and seems to be safe for children. As medicine, it’s possibly safe when used appropriately.

Cystic fibrosis: Cystic fibrosis can lower salt levels in the body. Some people with cystic fibrosis need to take fluids or pills to increase salt (sodium) levels. Coconut water doesn’t contain enough salt to increase salt levels in people with cystic fibrosis. Also, it might contain too much potassium. Don't drink coconut water as way to increase salt levels if you have cystic fibrosis.

High levels of potassium in the blood: Coconut water contains high levels of potassium. Don't drink coconut water if you have high levels of potassium in the blood.

Kidney problems: Coconut water contains high levels of potassium. Normally, potassium is excreted in the urine if blood levels get too high. But this doesn’t happen if the kidneys aren’t working normally. If you have kidney problems, talk to your healthcare provider before taking coconut water.

Surgery: Coconut water might interfere with blood pressure and blood sugar control during and after surgery. Stop using coconut water at least two weeks before a scheduled surgery.

Are there interactions with medications?

Moderate
Be cautious with this combination.
Medications for high blood pressure (Antihypertensive drugs)
Coconut water might lower blood pressure. Taking coconut water along with medications that lower blood pressure might cause blood pressure to go too low. Monitor your blood pressure closely.
Minor
Be watchful with this combination.
Medications for diabetes (Antidiabetes drugs)
Coconut water might lower blood sugar levels. Taking coconut water along with diabetes medications might cause blood sugar to drop too low. Monitor your blood sugar closely.

Are there interactions with herbs and supplements?

Herbs and supplements that might lower blood pressure
Coconut water might lower blood pressure. Taking it with other supplements that have the same effect might cause blood pressure to drop too much. Examples of supplements with this effect include andrographis, casein peptides, L-arginine, niacin, and stinging nettle.
Herbs and supplements that might lower blood sugar
Coconut water might lower blood sugar. Taking it with other supplements with similar effects might lower blood sugar too much. Examples of supplements with this effect include aloe, bitter melon, cassia cinnamon, chromium, and prickly pear cactus.

Are there interactions with foods?

There are no known interactions with foods.

How is it typically used?

Coconut water is commonly consumed as a drink. It’s rich in carbohydrates and electrolytes such as potassium, sodium, and magnesium.

As medicine, it’s been used by adults in varying doses. Speak with a healthcare provider to find out what type of product and dose might be best for a specific condition.

Other names

Agua de Coco, Asian Coconut Water, Coconut Drink, Coconut Fruit Water, Coconut H2O, Coconut Juice, Coconut Palm Water, Coconut Rehydration Solution, Cocos nucifera, Eau de Coco, Eau de Coco Verte, Eau de Jeune Coco, Eau de Jeunes Noix de Coco, Eau de Noix de Coco, Eau de Noix de Coco d'Asie, Eau du Fruit du Cocotier, Fresh Young Coconut Water, Green Coconut Water, Kabuaro Water, Young Coconut Water.

Methodology

To learn more about how this article was written, please see the Natural Medicines Comprehensive Database methodology.

References

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  2. Dai Y, Peng L, Zhang X, et al. Effects of coconut water on blood sugar and retina of rats with diabetes. PeerJ. 2021;9:e10667. View abstract.
  3. Alatawi KA, Alshubaily FA. Coconut products alleviate hyperglycaemic, hyperlipidimic and nephropathy indices in streptozotocin-induced diabetic wistar rats. Saudi J Biol Sci. 2021;28:4224-4231. View abstract.
  4. Birkelund T, Johansen RF, Illum DG, et al. Fatal 3-nitropropionic acid poisoning after consuming coconut water. Emerg Infect Dis 2021;27:278-280. View abstract.
  5. Zhang X, Peng L, Dai Y, Sheng X, Chen S, Xie Q. Effects of coconut water on retina in diabetic rats. Evid Based Complement Alternat Med 2020;2020:9450634. View abstract.
  6. Majeed M, Majeed S, Nagabhushanam K, Mundkur L, Neupane P, Shah K. Clinical study to evaluate the efficacy and safety of a hair serum product in healthy adult male and female volunteers with hair fall. Clin Cosmet Investig Dermatol. 2020;13:691-700. View abstract.
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  8. Laitano O, Trangmar SJ, Marins DDM, et al. Improved exercise capacity in the heat followed by coconut water consumption. Motriz: Revista de Educação Física 2014;20:107-111.
  9. Sayer R, Sinha I, Lowdon J, Panickar J. Preventing hyponatraemic dehydration in cystic fibrosis: a cautionary note to take coconut water with a pinch of salt. Arch Dis Child 2014;99:90. View abstract.
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  11. Peart DJ, Hensby A, Shaw MP. Coconut water does not improve markers of hydration during sub-maximal exercise and performance in a subsequent time trial compared with water alone. Int J Sport Nutr Exerc Metab 2017;27:279-284. View abstract.
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  15. Saat M, Singh R, Sirisinghe RG, Nawawi M. Rehydration after exercise with fresh young coconut water, carbohydrate-electrolyte beverage and plain water. J Physiol Anthropol Appl Human Sci. 2002;21:93-104. View abstract.
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  17. Camargo AA, Fagundes Neto U. Intestinal transport of coconut water sodium and glucose in rats "in vivo". J Pediatr (Rio J) 1994;70:100-4. View abstract.
  18. Fagundes Neto U, Franco L, Tabacow K, Machado NL. Negative findings for use of coconut water as an oral rehydration solution in childhood diarrhea. J Am Coll Nutr 1993;12:190-3. View abstract.
  19. Adams W, Bratt DE. Young coconut water for home rehydration in children with mild gastroenteritis. Trop Geogr Med 1992;44:149-53. View abstract.
Last reviewed - 09/30/2023