IntroductionPleroma pereirae is a Brazilian endemic shrub used in the folk medicine for the treatment of kidney diseases. The aim of this study was the evaluation of the biological effects of the flavonoid-rich fraction (FFPP) obtained from P. pereirae. MethodsCrude extract ofP. pereirae was fractioned on a silica gel column and the effects of FFPP on calcium oxalate crystallization, its free radical scavenging (using the DPPH• test) and antinociceptive properties (using two chemically induced pain models) were evaluated. ResultsThe P. pereirae ethanolic extract was fractioned through silica gel column yielding FFPP, which contains quercetin-O-galloylglucoside, quercetin-O-rutinoside (Rutin), isorhamnetin–O-galloylglucoside, kaempferol-O-rutinoside (Nicotiflorin), isorhamnetin-O-glucoside, isorhamnetin-O-rutinoside (Narcissin) and disaccharide isomers of kaempferol, quercetin and isorhamnetin. These natural products were characterized with High-Performance Liquid Chromatography coupled to DAD-ESI-MS/MSn. FFPP induced only nucleation and growth of calcium oxalate crystals and showed the ability to scavenge the free radical in the DPPH test (EC50 = 4.58 μg/mL). The antinociceptive activity was observed in the acetic acid-induced writhing test (p < 0.001) and in the formalin test (p < 0.01 and p < 0.001, in early and late phases, respectively) at the doses tested. ConclusionsThe flavonoids present in FFPP showed strong antinociceptive activity and were able to inhibit aggregation of calcium oxalate crystals, what supports, at least in part, the use of P. pereirae for the treatment and prevention of some kidney diseases.