Black Tea + Simvastatin
Simvastatin brand name: Zocor.
Black Tea has a moderate interaction with Simvastatin. Theoretically, black tea might reduce the absorption of organic anion-transporting polypeptide (OATP) substrates.
Read the full interaction reportBlack Tea and Simvastatin
Here is the interaction we found between these two, with the evidence behind it.
ORGANIC ANION-TRANSPORTING POLYPEPTIDE SUBSTRATES (OATP)
Why this applies to Simvastatin
Simvastatin falls under ORGANIC ANION-TRANSPORTING POLYPEPTIDE SUBSTRATES (OATP) — the group Black Tea interacts with.
In vitro, black tea extract inhibits organic anion-transporting polypeptide (OATP)2B1. OATP2B1 is expressed in the small intestine and liver and is responsible for the uptake of drugs and other compounds. In an animal model, black tea extract was found to inhibit the absorption of rosuvastatin, a substrate of OATP2B1. However, this effect has not been reported in humans.
Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
Here's the gist for simvastatin (Zocor): black tea contains plant compounds that, at least in lab and animal studies, can block a transporter called OATP that helps pull certain drugs into the body. If that happens, less of your statin could get absorbed, which in theory might make it less effective at lowering your cholesterol. So this is about a possibly weaker effect, not a buildup or more side effects.
I'll be straight with you though: this has only been seen in test tubes and animals, not in real people, so it's pretty theoretical. A normal cup or two of tea is very unlikely to throw off your statin. If you drink a lot of strong tea or take black tea supplements, just mention it to your pharmacist or doctor and keep your cholesterol checks on schedule.
- Kondo A, Narumi K, Okuhara K, et al. Black tea extract and theaflavin derivatives affect the pharmacokinetics of rosuvastatin by modulating organic anion transporting polypeptide (OATP) 2B1 activity. Biopharm Drug Dispos. 2019;40(8):302-306. PubMed
What These Ratings Mean
Every interaction above is graded three ways — here’s the key to each label.
Clinically significant. Avoid the combination, or use only under close professional supervision.
Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.
Generally not serious. Be aware of it and mention it to your pharmacist.
- LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
- ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
- PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
- UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
- AHigh-quality meta-analysis (quantitative systematic review).
- BCase-control study.
- CConsensus.
- DAnecdotal evidence.
These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.
Black Tea Also Interacts With Other Medications
Black Tea has 8 major, 571 moderate, 114 minor known drug interactions in our database — the Simvastatin one above is one of them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Black Tea
We haven’t checked that one against Black Tea yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Black Tea. Pick one to open its full report.
Questions About Black Tea or Simvastatin
These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Black Tea or Simvastatin, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:
- Is It Safe to Eat Pomegranate Seeds With Pravastatin? ›
- Can Valerian or Lavender Help Sleep While on Simvastatin? ›
- Can You Take Nattokinase With a 40 mg Statin? ›
Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.
See Every Supplement That Interacts With Simvastatin
This page covers Black Tea only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Simvastatin page lists 183 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Activated Charcoal (major), Apple (major), Beer (major), Grapefruit (major) and Siberian Cocklebur (major).
By severity: 8 major · 139 moderate · 36 minor.
Taking Black Tea as Part of a Dietary Supplement Product? Check It for Interactions
We hold 271 real supplement products containing Black Tea, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Black Tea. Your product may carry other ingredients that interact with Simvastatin too, on top of Black Tea — and those would not show on this page. Find your product and we’ll check every ingredient on its label:
Where Black Tea and Simvastatin Sit Against Everything Else
Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.
#279 of 1,452 supplements looked up here in the last 7 days
#1,129 of 2,830 medications looked up here in the last 7 days
Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.
About Black Tea
What is Black Tea?
- Mental alertness and energy
- Heart health support
- Blood pressure and cholesterol
- Digestive complaints
- Weight management
- Antioxidant support
Black tea is a popular caffeinated drink made from the fully oxidized leaves of the Camellia sinensis plant, and it contains caffeine and antioxidant plant compounds. Moderate tea drinking is generally safe for most adults and may modestly support heart health and alertness, but it is not a proven treatment for any disease. If you are pregnant, breastfeeding, sensitive to caffeine, or taking medicines, talk to your pharmacist or doctor.
About Simvastatin
What Is Simvastatin Used For?
Brand name: Zocor
Simvastatin tablets are used alongside a cholesterol-lowering diet to treat high LDL cholesterol (bad cholesterol), high triglycerides, and certain inherited cholesterol disorders, including heterozygous familial hypercholesterolemia (HeFH) in adults and children aged 10 and older, and homozygous familial hypercholesterolemia (HoFH) in adults.
In adults who already have coronary heart disease, cerebrovascular disease, peripheral vascular disease, or diabetes and are at high risk for heart events, simvastatin is also used to reduce the risk of death from heart disease, non-fatal heart attack, stroke, and the need for procedures to open blocked arteries. Zocor is one brand-name product containing simvastatin and carries these same indications.
Other Drugs & Black Tea
Browse every other medication we’ve checked against Black Tea — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
8 interactions
- Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate ›
- Ephedrine, Guaifenesin (otc Drug) ›
- Ephedrine, Hydroxyzine, Theophylline ›
- Ephedrine, Phenobarbital, Potassium Iodide, Theophylline ›
- Aminophylline, Amobarbital, Ephedrine ›
- Dyphylline, Ephedrine, Guaifenesin, Phenobarbital ›
- Ephedrine, Guaifenesin, Phenobarbital, Theophylline ›
- Ephedrine, Phenobarbital, Theophylline ›
571 interactions
- Diclofenac Sodium ›
- Diltiazem ›
- Theophylline ›
- Ibuprofen ›
- Salbutamol Sulfate ›
- Phentermine ›
- Aspirin ›
- Methylphenidate ›
- Naproxen ›
- Erythromycin ›
- Estradiol ›
- Minocycline ›
- Hydrochlorothiazide ›
- Norethindrone ›
- Verapamil ›
- Levonorgestrel ›
- Phenylpropanolamine ›
- Glyburide ›
- Ciprofloxacin ›
- Nicotine ›
- Phenytoin ›
- Carbamazepine ›
- Diclofenac Potassium ›
- Dipyridamole ›
- Phenylephrine ›
- Pseudoephedrine ›
- Albuterol ›
- Amphetamine ›
- Conjugated Estrogens ›
- Diethylpropion ›
- Ketoprofen ›
- Methotrexate ›
- Ofloxacin ›
- Rifampin ›
- Selegiline ›
- Terbutaline ›
- Trichlormethiazide ›
- Adenosine (prescription Drug) ›
- Bendroflumethiazide ›
- Bivalirudin ›
- Caffeine (otc Drug) ›
- Cimetidine ›
- Erythromycin Ethylsuccinate ›
- Erythromycin Stearate ›
- Etoposide ›
- Isoniazid ›
- Levofloxacin ›
- Metolazone ›
- Modafinil ›
- Omeprazole ›
- Oxymetazoline Hydrochloride ›
- Paroxetine ›
- Phenobarbital ›
- Riluzole ›
- Spironolactone ›
- Valproic Acid ›
- Warfarin Sodium ›
- Acetazolamide ›
- Amiodarone ›
- Amphetamine Sulfate ›
Showing 60 of 571 moderate interactions — see all 571 on the Black Tea page.
114 interactions
- Insulin (rdna) ›
- Insulin (pork) ›
- Flurbiprofen ›
- Insulin (human) ›
- Trimipramine ›
- Lofepramine ›
- Nortriptyline ›
- Acarbose ›
- Desipramine ›
- Doxepin ›
- Fluphenazine ›
- Insulin Glargine ›
- Semaglutide ›
- Chlorpromazine ›
- Chlorpropamide ›
- Clomipramine ›
- Exenatide ›
- Fluconazole ›
- Glipizide ›
- Glucagon ›
- Imipramine ›
- Insulin Lispro ›
- Metformin ›
- Prochlorperazine ›
- Repaglinide ›
- Sitagliptin ›
- Tirzepatide ›
- Acepromazine ›
- Acetohexamide ›
- Albiglutide ›
- Alogliptin ›
- Amitriptyline ›
- Amoxapine ›
- Canagliflozin ›
- Carphenazine ›
- Cyamemazine ›
- Dapagliflozin ›
- Dasiglucagon Hydrochloride ›
- Dulaglutide ›
- Empagliflozin ›
- Ertugliflozin ›
- Esketamine ›
- Ethanol ›
- Exenatide Synthetic ›
- Gliclazide ›
- Glimepiride ›
- Glucose ›
- Inhaled Insulin ›
- Insulin ›
- Insulin (bovine) ›
- Insulin Aspart ›
- Insulin Degludec ›
- Insulin Determir ›
- Insulin Glargine (rdna) ›
- Insulin Glargine Recombinant ›
- Insulin Glulisine (rdna) ›
- Insulin Lispro Recombinant ›
- Insulin Lispro-aabc ›
- Linagliptin ›
- Liraglutide ›
Showing 60 of 114 minor interactions — see all 114 on the Black Tea page.
No interaction 2,136 drugs checked — show the list
We also checked Black Tea against these medications and found no known interaction in our sources. Open any page to confirm.
- Levothyroxine ›
- Amlodipine ›
- Sertraline ›
- Testosterone ›
- Losartan Potassium ›
- Metoprolol ›
- Ivermectin ›
- Acetaminophen ›
- Tadalafil ›
- Docusate ›
- Valacyclovir ›
- Abemaciclib ›
- Hydroxyurea ›
- Sumatriptan ›
- Prednisone ›
- Propranolol ›
- Bupropion ›
- Amoxicillin ›
- Lisinopril ›
- Acyclovir ›
- Bendamustine ›
- Doxycycline ›
- Lamotrigine ›
- Fluoxetine ›
- Acetaminophen, Codeine ›
- Gabapentin ›
- Pregabalin ›
- Azithromycin ›
- Isotretinoin ›
- Clonazepam ›
- Methylene Blue ›
- Quetiapine ›
- Amlodipine Besylate ›
- Duloxetine ›
- Letrozole ›
- Buspirone ›
- Bisoprolol ›
- Levothyroxine, Liothyronine ›
- Acetaminophen, Oxycodone ›
- Dapsone ›
- Diazepam ›
- Cyclopentolate ›
- Candesartan Cilexetil ›
- Cephalexin ›
- Roxithromycin ›
- Acetaminophen, Dextromethorphan, Doxylamine ›
- Pegunigalsidase Alfa-iwxj ›
- Daptomycin ›
- Finasteride ›
- Mirtazapine ›
- Hexobarbitone ›
- Valsartan ›
- Levothyroxine Sodium ›
- Levetiracetam ›
- Alprazolam ›
- Amlodipine Besylate, Benazepril ›
- Factor 7a ›
- Phentermine, Topiramate ›
- Thyroid Hormone ›
- Bromocriptine ›
Showing the 60 most looked-up of 2,136 medications checked with no known interaction — see the full Black Tea list.
Sources & How We Checked
Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference for vitamins, herbs and supplements — the basis for our interaction data.
- MedlinePlus, U.S. National Library of Medicine — NIH consumer drug information, used for the medication overviews.
- NIH Dietary Supplement Label Database (DSLD) — Official supplement product labels.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Simvastatin Is Linked to Lower Levels of 2 Nutrients
Natural Medicines records Simvastatin as a medicine that can lower these. This is not an interaction with Black Tea — it is a separate effect of the medicine, and it is a reason some people are advised to supplement rather than to avoid one:
Read the full Simvastatin nutrient depletion report ›
Depletion records come from the licensed Natural Medicines database. Do not start a supplement on the strength of this page — ask your pharmacist or doctor whether it applies to you.
Taking Black Tea and Simvastatin Together: Common Questions
Can you take Black Tea with Simvastatin?
How serious is the Black Tea and Simvastatin interaction?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Still Have a Question About Simvastatin and Black Tea?
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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.