Drug & supplement interaction

Caffeic Acid + Oseltamivir Phosphate

Oseltamivir Phosphate brand name: Tamiflu.

Moderate Interaction
The bottom line Moderate

Caffeic Acid has a moderate interaction with Oseltamivir Phosphate. Theoretically, caffeic acid might increase the levels and clinical effects of OAT1 substrates.

Read the full interaction report
SeverityModerate
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Caffeic Acid and Oseltamivir Phosphate

Here is the interaction we found between these two, with the evidence behind it.

Moderate

ORGANIC ANION TRANSPORTER 1 (OAT1) SUBSTRATES

Why this applies to Oseltamivir Phosphate

Oseltamivir Phosphate falls under ORGANIC ANION TRANSPORTER 1 (OAT1) SUBSTRATES — the group Caffeic Acid interacts with.

Theoretically, caffeic acid might increase the levels and clinical effects of OAT1 substrates.
In vitro, caffeic acid inhibits OAT1. This drug transport protein is involved in renal tubular uptake of some drugs from the blood and then elimination in the urine. Inhibition of this transporter decreases renal elimination and increases drug levels in the body. Although caffeic acid inhibits OAT1 in vitro, the clinical significance of this in humans is not known.
Severity Moderate Likelihood Possible Evidence D

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.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the gist with Tamiflu and caffeic acid. Your kidneys help clear the active form of Tamiflu out of your body using a little transporter called OAT1. In lab tests (not in actual people yet), caffeic acid seems to slow that transporter down. If that happened in your body, a bit more of the drug could hang around longer, which in theory might nudge up side effects like nausea, stomach upset, or headache.

That said, this is only test-tube data, so we really don't know if it matters in real life. The flu treatment course is short, and food amounts of caffeic acid (coffee, fruits, veggies) are very unlikely to be a problem. If you're thinking about a concentrated supplement, just run it by your pharmacist or doctor first.

References
  1. Uwai Y, Ozeki Y, Isaka T, et al. Inhibitory effect of caffeic acid on human organic anion transporters hOAT1 and hOAT3: a novel candidate for food-drug interaction. Drug Metab Pharmacokinet 2011;26:486-93. PubMed

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • 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.
Evidence the quality of the studies behind the rating (graded A–D)
  • 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.

Keep it in perspective

Caffeic Acid Also Interacts With Other Medications

Caffeic Acid has 176 moderate, 5 minor known drug interactions in our database — the Oseltamivir Phosphate one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Caffeic Acid

Covers the 2,830 medications we’ve checked against Caffeic Acid. Pick one to open its full report.

From our Q&A

Questions About Caffeic Acid or Oseltamivir Phosphate

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Caffeic Acid or Oseltamivir Phosphate, 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:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Oseltamivir Phosphate

This page covers Caffeic Acid only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Oseltamivir Phosphate page lists 22 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), African Wild Potato (moderate), Banderol (moderate), Coffee Charcoal (moderate) and European Mandrake (moderate).

By severity: 1 major · 11 moderate · 10 minor.

From our pharmacist’s overview on the Oseltamivir Phosphate page

“Tamiflu (oseltamivir phosphate) only has about five days to do its job against the flu, so this list deserves a careful read, and the single major entry, activated charcoal, deserves it most. Charcoal can adsorb the drug and cut how much reaches your bloodstream, which is exactly what you cannot afford during a short antiviral course.”

Reviewed by 2 · Jul 18, 2026

Open the Oseltamivir Phosphate interaction page

One more smart check

Taking Caffeic Acid as Part of a Dietary Supplement Product? Check It for Interactions

We hold 20 real supplement products containing Caffeic Acid, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Caffeic Acid. Your product may carry other ingredients that interact with Oseltamivir Phosphate too, on top of Caffeic Acid — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Caffeic Acid and Oseltamivir Phosphate 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.

Supplement Caffeic Acid
Steady interest

#1,280 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Oseltamivir Phosphate
Steady interest

#1,966 of 2,830 medications looked up here in the last 7 days

29 days ago today

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.

Supplement

About Caffeic Acid

What is Caffeic Acid?

  • Antioxidant support
  • General anti-inflammatory use
  • Skin and sun protection (topical)
  • Immune support
  • Cancer-prevention interest (research stage)

Caffeic acid is a natural plant compound found in coffee, many fruits, vegetables, and herbs, and it is studied mainly for its antioxidant and anti-inflammatory properties. Most evidence comes from laboratory and animal research, so its benefits in people are not yet proven. If you want to take it as a supplement, talk with your pharmacist or doctor first.

Read the full Caffeic Acid monograph & all interactions
Medication

About Oseltamivir

What Is Oseltamivir Used For?

Brand name: Tamiflu

Oseltamivir is used to treat acute, uncomplicated influenza A and B in patients 2 weeks of age and older who have had symptoms for no more than 48 hours. It is also used to prevent (prophylaxis) influenza A and B in patients 1 year of age and older.

Keep in mind: oseltamivir is not a substitute for your annual flu vaccine. It does not work against bacterial infections or illnesses caused by anything other than influenza viruses.

See full Oseltamivir drug information
Keep checking

Other Drugs & Caffeic Acid

Browse every other medication we’ve checked against Caffeic Acid — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
176Moderate
5Minor
2,648No known interaction
Moderate

176 interactions

Showing 60 of 176 moderate interactions — see all 176 on the Caffeic Acid page.

Minor

5 interactions

No interaction 2,648 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

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

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Pharmacist Counseling Corner

Taking Caffeic Acid and Oseltamivir Phosphate Together: Common Questions

Can you take Caffeic Acid with Oseltamivir Phosphate?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Caffeic Acid and Oseltamivir Phosphate interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Oseltamivir Phosphate and Caffeic Acid?

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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.