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Beware Dangerous Grapefruit Juice Interactions with Drugs

Interactions between grapefruit or grapefruit juice and certain medications can be risky.

Grapefruit and grapefruit juice have the potential to interact in a dangerous way with a wide range of medications. It makes sense to ask the prescriber and the pharmacist about this potential.

Q. I’ve just been put on simvastatin to control my cholesterol. I’m also on amiodarone for my heart. I take blood pressure pills, an antidepressant and quite a few other medications including warfarin, which is for my atrial fibrillation.

I had no idea that grapefruit juice wasn’t good if you’re on certain pills. I just read about this on your website.

I drink loads of pink grapefruit juice. Could there be any problem with my medications?

A. Yikes! Almost all your medications interact dangerously with grapefruit juice (pink or white).

The effects of simvastatin, amiodarone and warfarin could all be magnified by grapefruit (Evidence Based Complementary and Alternative Medicine, online, March 18, 2014). Certain blood pressure pills (felodipine and similar drugs) and the antidepressant sertraline also interact with grapefruit (World Journal of Biological Psychiatry, vol. 10, no. 4, part 3, 2009).

Our free Guide to Grapefruit Interactions has information about dangerous grapefruit juice interactions. Ask your doctor whether there are non-interacting substitutes for your medications.

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About the Author
Joe Graedon is a pharmacologist who has dedicated his career to making drug information understandable to consumers. His best-selling book, The People’s Pharmacy, was published in 1976 and led to a syndicated newspaper column, syndicated public radio show and web site. In 2006, Long Island University awarded him an honorary doctorate as “one of the country's leading drug experts for the consumer.”.
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