Green Tea + Isavuconazonium Sulfate (IV)
Isavuconazonium Sulfate (IV) brand name: Cresemba.
Green Tea has a minor interaction with Isavuconazonium Sulfate (IV). Green tea is unlikely to produce clinically significant changes in the levels and clinical effects of CYP3A4 substrates.
Read the full interaction reportGreen Tea and Isavuconazonium Sulfate (IV)
Here is the interaction we found between these two, with the evidence behind it.
CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES
Why this applies to Isavuconazonium Sulfate (IV)
Isavuconazonium Sulfate (IV) falls under CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES — the group Green Tea interacts with.
In vitro and in vivo research suggests that green tea can inhibit intestinal CYP3A and induce hepatic CYP3A4 enzymes. However, this effect is unlikely to be clinically significant, as green tea does not appear to affect CYP3A4 activity in humans.
Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans..
Here's the good news if you enjoy a cup of green tea while being treated with Cresemba (isavuconazonium): this pairing isn't something to lose sleep over. In the test tube, green tea's catechins can tug on CYP3A4, the same enzyme system that handles this antifungal, blocking it a little in the gut and possibly speeding it up in the liver. But in actual people, green tea hasn't been shown to meaningfully change how CYP3A4 works.
So the theoretical risk of shifting your isavuconazole levels (either dulling its effect or nudging up side effects like nausea or headache) is very unlikely at normal drinking amounts. Concentrated green tea extract pills are less studied, so if you're taking those, just give your pharmacist or doctor a quick heads-up.
- Donovan JL, Chavin KD, Devane CL, et al. Green tea (Camellia sinensis) extract does not alter cytochrome P450 3A4 or 2D6 activity in healthy volunteers. Drug Metab Dispos 2004;32:906-8. PubMed
- Nishikawa, M., Ariyoshi, N., Kotani, A., Ishii, I., Nakamura, H., Nakasa, H., Ida, M., Nakamura, H., Kimura, N., Kimura, M., Hasegawa, A., Kusu, F., Ohmori, S., Nakazawa, K., and Kitada, M. Effects of continuous ingestion of green tea or grape seed extrac
- Chow, H. H., Hakim, I. A., Vining, D. R., Crowell, J. A., Cordova, C. A., Chew, W. M., Xu, M. J., Hsu, C. H., Ranger-Moore, J., and Alberts, D. S. Effects of repeated green tea catechin administration on human cytochrome P450 activity. Cancer Epidemiol.B PubMed
- Engdal, S. and Nilsen, O. G. In vitro inhibition of CYP3A4 by herbal remedies frequently used by cancer patients. Phytother.Res. 2009;23(7):906-912.
- Schönthal AH. Adverse effects of concentrated green tea extracts. Mol Nutr Food Res. 2011 Jun;55(6):874-85. 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.
Green Tea Also Interacts With Other Medications
Green Tea has 13 major, 908 moderate, 372 minor known drug interactions in our database — the Isavuconazonium Sulfate (IV) one above is one of them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Green Tea
We haven’t checked that one against Green Tea yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Green Tea. Pick one to open its full report.
Questions About Green Tea or Isavuconazonium Sulfate (IV)
These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Green Tea or Isavuconazonium Sulfate (IV), 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.
See Every Supplement That Interacts With Isavuconazonium Sulfate (IV)
This page covers Green Tea only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Isavuconazonium Sulfate (IV) page lists 121 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate), Adrafinil (moderate) and African Wild Potato (moderate).
By severity: 2 major · 87 moderate · 32 minor.
Taking Green Tea as Part of a Dietary Supplement Product? Check It for Interactions
We hold 9,084 real supplement products containing Green Tea, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Green Tea. Your product may carry other ingredients that interact with Isavuconazonium Sulfate (IV) too, on top of Green Tea — and those would not show on this page. Find your product and we’ll check every ingredient on its label:
Where Green Tea and Isavuconazonium Sulfate (IV) 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.
#23 of 1,452 supplements looked up here in the last 7 days
#1,102 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 Green Tea
What is Green Tea?
- Antioxidant support
- Weight loss
- Heart health
- Mental alertness
- Cancer risk reduction
Green tea is a popular beverage rich in antioxidants called catechins, and drinking it in normal amounts is considered safe for most people. Concentrated green tea extracts are a different story—they may help modestly with weight or heart health for some, but high doses have been linked to rare liver problems. Talk to your pharmacist or doctor before taking green tea supplements, especially if you have liver concerns or are pregnant.
About Isavuconazonium
What Is Isavuconazonium Used For?
Brand name: Cresemba
Isavuconazonium treats invasive aspergillosis and invasive mucormycosis. Both are serious fungal infections.
The brand Cresemba comes in two forms with different age limits. Cresemba for injection is for adults and children 1 year and older. Cresemba capsules are for adults and children 6 years and older who weigh at least 16 kg (about 35 pounds).
Other Drugs & Green Tea
Browse every other medication we’ve checked against Green Tea — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
13 interactions
- Nadolol ›
- Atorvastatin ›
- Atorvastatin Calcium ›
- Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate ›
- Ephedrine, Guaifenesin (otc Drug) ›
- Ephedrine, Hydroxyzine, Theophylline ›
- Ephedrine, Phenobarbital, Potassium Iodide, Theophylline ›
- Aminophylline, Amobarbital, Ephedrine ›
- Bendroflumethiazide, Nadolol ›
- Dyphylline, Ephedrine, Guaifenesin, Phenobarbital ›
- Ephedrine, Guaifenesin, Phenobarbital, Theophylline ›
- Ephedrine, Phenobarbital, Theophylline ›
- Ezetimibe, Atorvastatin ›
908 interactions
- Diclofenac Sodium ›
- Diltiazem ›
- Theophylline ›
- Nifedipine ›
- Ibuprofen ›
- Salbutamol Sulfate ›
- Phentermine ›
- Aspirin ›
- Hydrocortisone ›
- Methylphenidate ›
- Naproxen ›
- Doxycycline ›
- Erythromycin ›
- Estradiol ›
- Minocycline ›
- Tetracycline ›
- Ranitidine ›
- Amoxicillin ›
- Hydrochlorothiazide ›
- Norethindrone ›
- Testosterone ›
- Verapamil ›
- Fenofibrate ›
- Levonorgestrel ›
- Phenylpropanolamine ›
- Prednisone ›
- Quinidine ›
- Cyclosporine ›
- Dexamethasone ›
- Glyburide ›
- Methyltestosterone ›
- Ciprofloxacin ›
- Colchicine ›
- Nicotine ›
- Phenytoin ›
- Prednisolone ›
- Triamcinolone ›
- Allopurinol ›
- Apomorphine ›
- Carbamazepine ›
- Diclofenac Potassium ›
- Dipyridamole ›
- Doxorubicin ›
- Morphine Sulfate ›
- Phenylephrine ›
- Pseudoephedrine ›
- Acetaminophen ›
- Albuterol ›
- Amphetamine ›
- Conjugated Estrogens ›
- Diethylpropion ›
- Everolimus ›
- Ivermectin ›
- Ketoprofen ›
- Methotrexate ›
- Nitrofurantoin ›
- Ofloxacin ›
- Propoxyphene ›
- Rifampin ›
- Selegiline ›
Showing 60 of 908 moderate interactions — see all 908 on the Green Tea page.
372 interactions
- Insulin (rdna) ›
- Lidocaine ›
- Insulin (pork) ›
- Triazolam ›
- Zopiclone ›
- Fentanyl ›
- Oxybutynin ›
- Tacrolimus ›
- Temazepam ›
- Budesonide ›
- Clindamycin ›
- Dextromethorphan ›
- Fluticasone ›
- Insulin (human) ›
- Miconazole ›
- Buprenorphine ›
- Diazepam ›
- Ivabradine ›
- Medroxyprogesterone ›
- Medroxyprogesterone Acetate ›
- Aripiprazole ›
- Ciclesonide ›
- Clonazepam ›
- Cyclobenzaprine ›
- Fluphenazine ›
- Fluticasone Propionate ›
- Hydroxyzine ›
- Insulin Glargine ›
- Midazolam ›
- Nicardipine ›
- Pantoprazole ›
- Progesterone (prescription Drug) ›
- Semaglutide ›
- Tramadol ›
- Zolpidem ›
- Almotriptan ›
- Alprazolam ›
- Aprepitant ›
- Aripiprazole Lauroxil ›
- Budenoside ›
- Buprenorphine Hydrochloride ›
- Busulfan ›
- Cabazitaxel ›
- Chlorpheniramine ›
- Chlorpromazine ›
- Clomipramine ›
- Dasatinib ›
- Dexchlorpheniramine ›
- Dihydroergotamine ›
- Disopyramide Phosphate ›
- Dronabinol ›
- Ergotamine Tartrate (prescription Drug) ›
- Exenatide ›
- Felodipine ›
- Finasteride ›
- Fluticasone Furoate ›
- Fosamprenavir ›
- Fosaprepitant ›
- Galantamine ›
- Glipizide ›
Showing 60 of 372 minor interactions — see all 372 on the Green Tea page.
No interaction 1,536 drugs checked — show the list
We also checked Green Tea against these medications and found no known interaction in our sources. Open any page to confirm.
- Levothyroxine ›
- Metoprolol ›
- Isotretinoin ›
- Levothyroxine, Liothyronine ›
- Docusate ›
- Hydroxyurea ›
- Valacyclovir ›
- Sumatriptan ›
- Propranolol ›
- Bupropion ›
- Fluoxetine ›
- Azithromycin ›
- Pregabalin ›
- Gabapentin ›
- Lamotrigine ›
- Bendamustine ›
- Acyclovir ›
- Methylene Blue ›
- Candesartan Cilexetil ›
- Bisoprolol ›
- Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate ›
- Enalapril Maleate ›
- Cephalexin ›
- Ezetimibe ›
- Bismuth Subcarbonate, Calcium Carbonate, Opium ›
- Levetiracetam ›
- Cyclopentolate ›
- Levodopa ›
- Hydrocortisone, Clioquinol, Pramoxine ›
- Alginic Acid, Aluminum Hydroxide ›
- Nebivolol Hydrochloride, Valsartan ›
- Efgartigimod Alfa-fcab ›
- Sodium Bicarbonate (otc Drug) ›
- Thyroid Hormone ›
- Carbidopa, Levodopa ›
- Measles, Mumps, Rubella Virus Live ›
- Valsartan ›
- Peginterferon Alfa-2a, Ribavirin ›
- Ceftolozane Sulfate, Tazobactam Sodium ›
- Atropine Methyl Nitrate, Digestive Enzymes ›
- Aminolevulinic Acid Hydrochloride ›
- Cytomegalovirus Immune Globulin ›
- Bupivacaine, Meloxicam ›
- Tubocurarine ›
- Alpha-1 Proteinase Inhibitor ›
- Atenolol ›
- Glycerol Phenylbutyrate ›
- Sulfadiazine, Trimethoprim ›
- Venlafaxine ›
- Lonapegsomatropin-tcgd ›
- Articaine, Epinephrine ›
- Daxibotulinumtoxina-lanm ›
- Roxithromycin ›
- Human Papillomavirus Vaccine ›
- Charcoal (otc Drug) ›
- Neomycin, Polymyxin B, Gramicidin ›
- Levothyroxine Sodium ›
- Pyrilamine Maleate ›
- Olmesartan Medoxomil ›
- Imipenem, Cilastatin, Relebactam ›
Showing the 60 most looked-up of 1,536 medications checked with no known interaction — see the full Green 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
Taking Green Tea and Isavuconazonium Sulfate (IV) Together: Common Questions
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