Juice Fasting Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Juice Fasting interacts with medications. The heart of this page is the interaction list — every drug Juice Fasting is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Juice Fasting is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check Juice Fasting against your medication
Add one medicationDrugs that interact with Juice Fasting
0 medications have a known interaction with Juice Fasting, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Juice Fasting. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.
What Severity, Likelihood & Evidence Mean
Severity — How Serious It Can Be
- Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
- Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
- Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
- No known interaction. Checked against our sources with nothing documented — not the same as proven safety.
Likelihood — How Well It’s Documented
- Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
- Probable. Interaction 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.
- Possible. 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
- Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Where This Data Comes From
- Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
- Each drug listed above links to the full report for that exact Juice Fasting combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Juice Fasting: Uses, Safety & Side Effects
Juice fasting means consuming only fruit and vegetable juices for a set period, often marketed for 'detox' or quick weight loss. There is little solid evidence that it cleanses the body or offers lasting health benefits, and your liver and kidneys already remove toxins on their own. Short juice fasts are low-risk for healthy adults, but they can be unsafe for some people, so check with a pharmacist or doctor first.
- Part used
- Fruit and vegetable juices
- Common forms
- Fresh-pressed (cold-pressed) juices, store-bought juice blends, commercial juice-cleanse programs
- Weight loss
- Detoxification or 'cleansing'
- Boosting fruit and vegetable intake
- Improving energy or well-being
- Resetting eating habits
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally low-risk for short periods in healthy adults, but lacks protein and fiber and may cause side effects.
During pregnancy and lactation. Juice fasting is not intended to provide adequate nutrition and can result in electrolyte imbalances when used short-t...
Read the full pregnancy detailDuring pregnancy and lactation. Juice fasting is not intended to provide adequate nutrition and can result in electrolyte imbalances when used short-t...
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Juice fasting is a type of diet where, for a set period of time, a person drinks only fruit and vegetable juices and avoids solid food. It is sometimes called a 'juice cleanse' or 'detox.' Fasts can last anywhere from a single day to a week or more.
Juice fasting is not a single herb or plant. Instead, it is an eating practice that uses juices pressed from foods like apples, oranges, carrots, beets, celery, kale, spinach, ginger, and lemon. Some people make their own juices at home with a juicer, while others buy pre-made bottles or sign up for commercial cleanse programs.
People try juice fasting for many reasons, including losing weight quickly, 'resetting' their diet, or feeling that it rids the body of toxins. It has become popular through wellness brands and social media rather than through medical recommendation.
How it works
Juice fasting works mainly by sharply cutting calorie intake and removing solid food. This calorie restriction is why people often lose weight during a fast.
Juices do supply vitamins, minerals, and plant compounds such as antioxidants. Supporters believe these nutrients support the body's natural cleansing systems. However, this idea is largely based on general nutrition science and laboratory studies, not on proof that juicing produces a special 'detox' effect.
Importantly, juicing removes most of the fiber found in whole fruits and vegetables. Fiber helps digestion, feeds healthy gut bacteria, and slows the rise of blood sugar. Without fiber, the natural sugars in fruit juice are absorbed quickly, which can spike blood sugar. Juices also contain little or no protein or fat, which the body needs every day.
Does Juice Fasting work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Juice Fasting, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 1 condition — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Obesity
It is unclear if juice fasting is beneficial in adults with obesity.
Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.
Safety & precautions
For most healthy adults, a short juice fast of a day or two is unlikely to cause harm. Longer or repeated fasts carry more risk because juices do not provide balanced nutrition.
Certain people should be especially careful or avoid juice fasting entirely. This includes people with diabetes (juice can raise blood sugar), kidney disease (some juices are high in oxalate or potassium), eating disorders or a history of disordered eating, low blood pressure, or anyone who is underweight, frail, or recovering from illness. Children and older adults should not juice fast without medical guidance.
Unpasteurized or homemade juices can carry harmful bacteria, which is riskier for people with weak immune systems. Always wash produce well and keep fresh juice cold.
Pregnancy and breastfeeding: Juice fasting is not recommended. Pregnancy and nursing require steady, balanced nutrition with enough calories, protein, and key nutrients that juice alone cannot provide. If you are pregnant or breastfeeding, avoid juice fasting and talk to your doctor about safe nutrition.
Because individual situations vary, check with a pharmacist or doctor before starting any fast, especially if you take medication or have a health condition.
Side effects
Common side effects during a juice fast include hunger, headaches, fatigue, dizziness, irritability, and trouble concentrating. These often happen because of low calorie and caffeine intake.
Other possible effects include diarrhea or loose stools (especially with juices that have a laxative effect), low blood sugar symptoms such as shakiness, and feeling cold. Longer fasts can lead to muscle loss and nutrient shortages.
Rare but more serious problems can occur, particularly with prolonged fasting or in vulnerable people. These include dangerous drops in blood sugar, electrolyte imbalances, dehydration, kidney strain from high-oxalate juices, and fainting. Stop the fast and seek medical care if you feel very weak, confused, faint, or unwell.
Juice Fasting: Reported Adverse Effects
Documented safety reports on Juice Fasting from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
There is currently a limited amount of reliable information available on the adverse effects of juice fasting. However, juice fasts do not provide adequate nutrition and involve the consumption of large quantities of water, which can lead to electrolyte imbalances when used short-term and malnutrition when used long-term. Additionally, there are multiple case reports of serious oxalate-induced renal injury due to juice fasting in otherwise healthy adults.
- National Center for Complementary and Integrative Health. "Detoxes" and "Cleanses": What you need to know. Available at: https://www.nccih.nih.gov/health/detoxes-and-cleanses-what-you-need-to-know. Updated September 2019. Accessed on: June 15, 2020.
- Makkapati S, D'Agati VD, Balsam L. "Green Smoothie Cleanse" Causing Acute Oxalate Nephropathy. Am J Kidney Dis. 2018 Feb;71(2):281-286.
- Lien YHH. Juicing is not all juicy. Am J Med. Sept 2013;126(9):755-6.
- Getting JE, Gregoire JR, Phul A, Kasten MJ. Oxalate nephropathy due to 'juicing': case report and review. Am J Med. Sept 2013;126(9):768-72.
Malnutrition Other
Juice fasts do not provide adequate nutrition and can lead to malnutrition when followed long-term.
- National Center for Complementary and Integrative Health. "Detoxes" and "Cleanses": What you need to know. Available at: https://www.nccih.nih.gov/health/detoxes-and-cleanses-what-you-need-to-know. Updated September 2019. Accessed on: June 15, 2020.
Myasthenia gravis Renal
There are multiple case reports of oxalate-induced kidney injury in adults who are participating in juice fasts. It is likely that this kidney injury is due in part to the significant increase in oxalate consumption, as well as the reduction in calcium intake, that occurs during a juice fast.
In one case report, a 65-year-old female developed acute oxalate nephropathy that progressed to end-stage renal disease after consuming a green smoothie juice "cleanse" that was prepared by juicing oxalate-rich green leafy vegetables and fruits. Prior to the cleanse, she had normal renal function. In another case report, a male developed acute renal failure after consuming a daily average of 1260 mg of oxalate from juicing for over 6 weeks. He presented to the emergency department with a high oxalate level that responded to temporary hemodialysis. Although he recovered most of his kidney function, he had a permanent reduction in glomerular filtration rate. In a third case report, a 68-year-old male developed acute oxalate nephropathy and dehydration, progressing to irreversible dialysis-dependent end-stage renal disease after consuming a juice regimen prepared from multiple vegetables. Daily oxalate intake was around 1500 mg daily (10 times the normal dietary intake), with spinach, Swiss chard and beets providing the highest amounts. Renal biopsy showed severe tubular injury, with intratubular oxalate crystal deposition.
- Lien YHH. Juicing is not all juicy. Am J Med. Sept 2013;126(9):755-6.
- Getting JE, Gregoire JR, Phul A, Kasten MJ. Oxalate nephropathy due to 'juicing': case report and review. Am J Med. Sept 2013;126(9):768-72.
- Makkapati S, D'Agati VD, Balsam L. "Green Smoothie Cleanse" Causing Acute Oxalate Nephropathy. Am J Kidney Dis. 2018 Feb;71(2):281-286.
- Chaudhari H, Michaud J, Srialluri N, Mahendrakar S, Granz C, Yudd M. Acute Oxalate Nephropathy Caused by Excessive Vegetable Juicing and Concomitant Volume Depletion. Case Rep Nephrol 2022;2022:4349673.
- Obadan OI, Yudd M. AKI in a Patient Engaged in Vegetable Juicing. Kidney360 2020;1(7):716-717.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no standardized or medically established way to do a juice fast. Programs vary widely in how many juices are consumed per day and how long the fast lasts.
If you choose to try a short juice fast, keeping it brief (about one to three days), staying well hydrated with water, and easing back into solid food gradually are common-sense steps. Follow any reputable product or program instructions, and do not extend a fast beyond what is safe for you.
Because individual needs differ, talk with a pharmacist, doctor, or registered dietitian before starting—especially if you have a health condition, take medicine, or plan to fast for more than a day.
Juice Fasting & Pregnancy
Juice Fasting & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 6 references that drive our Juice Fasting monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.
- Makkapati S, D'Agati VD, Balsam L. "Green Smoothie Cleanse" Causing Acute Oxalate Nephropathy. Am J Kidney Dis. 2018 Feb;71(2):281-286. PubMed
- Lien YHH. Juicing is not all juicy. Am J Med. Sept 2013;126(9):755-6. PubMed
- Getting JE, Gregoire JR, Phul A, Kasten MJ. Oxalate nephropathy due to 'juicing': case report and review. Am J Med. Sept 2013;126(9):768-72. PubMed
- National Center for Complementary and Integrative Health. "Detoxes" and "Cleanses": What you need to know. Available at: https://www.nccih.nih.gov/health/detoxes-and-cleanses-what-you-need-to-know. Updated September 2019. Accessed on: June 15, 2020.
- Chaudhari H, Michaud J, Srialluri N, Mahendrakar S, Granz C, Yudd M. Acute Oxalate Nephropathy Caused by Excessive Vegetable Juicing and Concomitant Volume Depletion. Case Rep Nephrol 2022;2022:4349673. PubMed
- Obadan OI, Yudd M. AKI in a Patient Engaged in Vegetable Juicing. Kidney360 2020;1(7):716-717. PubMed
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.
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
Juice Fasting: Common Questions
What is Juice Fasting used for, and does it work?
Does Juice Fasting interact with prescription medications?
How are Juice Fasting interactions rated?
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Does Juice Fasting really detox your body?
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Is Juice Fasting safe for everyone?
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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