Grapefruit Products has 25 known drug interactions based on U.S. FDA drug labeling data. Of these, 1 are contraindicated combinations that should be avoided entirely. 10 are classified as major interactions requiring close medical supervision. Notable interactions include combinations with Finerenone, Abemaciclib, Axitinib. Patients taking Grapefruit Products should inform their healthcare provider of all current medications — including over-the-counter drugs and supplements — to avoid potentially harmful combinations. Data sourced from OpenFDA and the NIH National Library of Medicine.
- Total
- 25
- Contraindicated
- 1
- Major
- 10
- Moderate
- 14
Contraindicated (1)
- Grapefruit Products + Finerenone— Avoid concomitant intake of grapefruit as it acts as a strong CYP3A4 inhibitor.
Major (10)
- Grapefruit Products + Abemaciclib— Grapefruit products should be avoided due to CYP3A4 inhibition, which increases abemaciclib exposure and toxicity risk.
- Grapefruit Products + Axitinib— May increase axitinib plasma concentrations and should be avoided.
- Grapefruit Products + Ceritinib— Grapefruit may inhibit CYP3A and increase ceritinib exposure. Do not consume grapefruit or grapefruit juice during treat…
- Grapefruit Products + Erlotinib— Strong CYP3A4 inhibitor increases erlotinib exposure, raising risk of exposure-related toxicity. Avoid co-administration…
- Grapefruit Products + Erlotinib Hydrochloride— Strong CYP3A4 inhibitor that increases erlotinib exposure and risk of exposure-related toxicity. Avoid concomitant use.
- Grapefruit Products + Larotrectinib— Strong CYP3A4 inhibitor; coadministration may increase larotrectinib plasma concentrations and increase adverse reaction…
- Grapefruit Products + Nifedipine— CYP3A inhibitor that may increase nifedipine exposure. Careful monitoring and dose adjustment necessary; consider lowest…
- Grapefruit Products + Nirogacestat— Strong CYP3A inhibitor. Increases nirogacestat exposure, which may increase risk of adverse reactions.
- Grapefruit Products + Rapamycin— Grapefruit is a CYP3A4 inhibitor that may increase sirolimus concentrations, increasing the risk of adverse reactions. C…
- Grapefruit Products + Suzetrigine— Food or drink containing grapefruit should be avoided during treatment with JOURNAVX. Grapefruit inhibits CYP3A, increas…
Moderate (14)
- Grapefruit Products + Cabozantinib— Grapefruit may increase exposure of cabozantinib, increasing risk of exposure-related adverse reactions. Avoid coadminis…
- Grapefruit Products + Colchicine Tablets 0.5 Mg— Grapefruit increases exposure to colchicine. Advise patients to avoid grapefruit when taking colchicine.
- Grapefruit Products + Crizotinib— Grapefruit may increase plasma concentrations of crizotinib, increasing risk of adverse reactions. Avoid concomitant use…
- Grapefruit Products + Entrectinib— Grapefruit products contain CYP3A inhibitors that increase entrectinib concentrations. Avoid grapefruit products during …
- Grapefruit Products + Estradiol Valerate And Estradiol Valerate/Dienogest— CYP3A4 inhibitor that increases serum concentrations of estradiol and dienogest.
- Grapefruit Products + Ibrutinib— Contains strong or moderate CYP3A inhibitors. Should be avoided during ibrutinib treatment to prevent increased ibrutini…
- Grapefruit Products + Ifosfamide— CYP3A4 inhibitor may decrease metabolism of ifosfamide to its active alkylating metabolites, potentially decreasing effe…
- Grapefruit Products + Ivacaftor— Grapefruit contains components that moderately inhibit CYP3A and may increase ivacaftor exposure. Avoid food or drink co…
- Grapefruit Products + Lonafarnib— Avoid consumption of grapefruit or Seville oranges during lonafarnib therapy due to CYP3A inhibition.
- Grapefruit Products + Lurbinectedin— Grapefruit contains strong or moderate CYP3A inhibitors that increase lurbinectedin systemic exposure, which may increas…
- Grapefruit Products + Pexidartinib Hydrochloride— Moderate or strong CYP3A inhibitor that may increase pexidartinib concentrations, increasing incidence and severity of a…
- Grapefruit Products + Rilzabrutinib— Grapefruit is a moderate CYP3A inhibitor. Concomitant use increases rilzabrutinib exposure and risk of adverse reactions…
- Grapefruit Products + Upadacitinib— Strong CYP3A4 inhibitor that increases upadacitinib exposure. Food or drink containing grapefruit should be avoided duri…
- Grapefruit Products + Vanzacaftor, Tezacaftor, And Deutivacaftor— Food or drink containing grapefruit should be avoided. Grapefruit moderately inhibits CYP3A, which may increase exposure…