Herb & supplement monograph

Mediterranean Diet Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Mediterranean Diet

0 medications have a known interaction with Mediterranean Diet, graded by severity. Select any drug for the full evidence-based detail.

We don’t currently list any known drug interactions for Mediterranean Diet. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.

Read The List Like a Pharmacist

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 Mediterranean Diet combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Mediterranean Diet: Uses, Safety & Side Effects

The bottom line

The Mediterranean diet is an eating pattern rich in vegetables, fruits, whole grains, legumes, nuts, fish, and olive oil, with limited red meat and processed foods. It has some of the strongest evidence of any diet for supporting heart health and is widely considered safe for most people. Talk to your doctor or a dietitian before making big changes, especially if you have a medical condition.

Common forms
Whole-food eating pattern (not a pill or supplement)
People commonly use it for
  • Heart health
  • Weight management
  • Type 2 diabetes prevention
  • Brain and memory health
  • Reducing inflammation
  • General longevity

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallLikely safe

It is a balanced, whole-food eating pattern considered safe and healthy for most people.

PregnancyPossibly Safe

When the Mediterranean diet is used appropriately during pregnancy. However, the red wine component of the Mediterranean diet should be avoided in pre...

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

There is insufficient reliable information available about the safety of the Mediterranean diet during lactation; however, the Mediterranean diet is a...

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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Overview

The Mediterranean diet is not a supplement or a single herb. It is an eating pattern based on the traditional foods eaten in countries along the Mediterranean Sea, such as Greece, Italy, and Spain.

It focuses on plant-based foods like vegetables, fruits, beans, lentils, whole grains, nuts, and seeds. Olive oil is the main fat used for cooking. Fish and seafood are eaten often, while poultry, eggs, and dairy (like yogurt and cheese) are eaten in moderate amounts. Red meat and sweets are limited, and meals are often shared and enjoyed slowly.

People follow this diet for general health and to support the heart, brain, and weight. Because it is a whole way of eating rather than a single product, it is usually adopted as a long-term lifestyle change.

How it works

The benefits likely come from the combination of foods rather than any single nutrient. Olive oil provides healthy unsaturated fats and plant compounds called polyphenols. Fish supplies omega-3 fatty acids, and vegetables, fruits, nuts, and whole grains add fiber, vitamins, minerals, and antioxidants.

Together, these foods are thought to reduce inflammation, improve cholesterol and blood vessel function, and help control blood sugar. The diet is also naturally low in processed foods, added sugar, and unhealthy fats, which may explain much of its benefit.

Many of the proposed mechanisms come from laboratory studies of individual nutrients, but the real-world benefits have been seen in human studies of the whole eating pattern.

Effectiveness

Does Mediterranean Diet work?

Evidence overview · 36 uses evaluated
4 Possibly effective 32 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.
Possibly Effective Cognitive function
Rating & evidence shown verbatim from Natural Medicines

The Mediterranean diet seems to improve cognition in healthy older adults. However, the impact of the Mediterranean diet on specific cognitive domains appears to differ between observational and clinical research.

Possibly Effective Dementia
Rating & evidence shown verbatim from Natural Medicines

Strict adherence to the Mediterranean diet seems to be associated with reductions in the risk of developing dementia and improvements in disease progression.

Possibly Effective Diabetes
Rating & evidence shown verbatim from Natural Medicines

The Mediterranean diet seems to have modest benefit in patients with diabetes and also seems to be associated with reductions in the risk of developing gestational or type 2 diabetes.

Possibly Effective Stroke
Rating & evidence shown verbatim from Natural Medicines

The Mediterranean diet reduces the risk of stroke in patients at high risk for cardiovascular disease.

Also studied for 32 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Academic performance
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for improving academic performance in children and adolescents.

Insufficient Reliable Evidence To Rate Age-related macular degeneration (AMD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet prevents the development or progression of AMD; the available evidence is conflicting.

Insufficient Reliable Evidence To Rate Asthma
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for reducing the risk of asthma in children.

Insufficient Reliable Evidence To Rate Breast cancer
Rating & evidence shown verbatim from Natural Medicines

The Mediterranean diet may be associated with reductions in the risk of mortality in patients with breast cancer.

Insufficient Reliable Evidence To Rate Cancer
Rating & evidence shown verbatim from Natural Medicines

Strict adherence to the Mediterranean diet may be associated with a reduced risk of certain cancers, but not a reduced risk of mortality or cancer recurrence.

Insufficient Reliable Evidence To Rate Chronic kidney disease (CKD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for preventing kidney disease.

Insufficient Reliable Evidence To Rate Colorectal cancer
Rating & evidence shown verbatim from Natural Medicines

The Mediterranean diet may be associated with reductions in the incidence of rectal cancer, but the available research is conflicting.

Insufficient Reliable Evidence To Rate Coronary heart disease (CHD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for patients with CHD.

Insufficient Reliable Evidence To Rate Depression
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for the treatment or prevention of depression.

Insufficient Reliable Evidence To Rate Dyslipidemia
Rating & evidence shown verbatim from Natural Medicines

The Mediterranean diet may be associated with reductions in the incidence of hypercholesterolemia, as well as improvement in some lipid levels.

Insufficient Reliable Evidence To Rate Erectile dysfunction (ED)
Rating & evidence shown verbatim from Natural Medicines

The Mediterranean diet seems to be associated with a reduced risk of developing ED.

Insufficient Reliable Evidence To Rate Familial hypercholesterolemia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial in patients with familial hypercholesterolemia.

Insufficient Reliable Evidence To Rate Frailty
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for reducing the risk of frailty in older adults.

Insufficient Reliable Evidence To Rate Gastric cancer
Rating & evidence shown verbatim from Natural Medicines

The Mediterranean diet may be associated with reductions in the risk of gastric cancer.

Insufficient Reliable Evidence To Rate Gingivitis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for gingivitis.

Insufficient Reliable Evidence To Rate Impaired glucose tolerance (prediabetes)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial in patients with prediabetes.

Insufficient Reliable Evidence To Rate Male infertility
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for improving male infertility.

Insufficient Reliable Evidence To Rate Metabolic dysfunction-associated steatotic liver disease (MASLD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for the treatment or prevention of MASLD, formerly called nonalcoholic fatty liver disease (NAFLD).

Insufficient Reliable Evidence To Rate Metabolic syndrome
Rating & evidence shown verbatim from Natural Medicines

The Mediterranean diet seems to be associated with a reduced risk for metabolic syndrome, as well as improvements in certain outcomes for people with metabolic syndrome.

Insufficient Reliable Evidence To Rate Obesity
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for reducing the risk of obesity or improving weight loss.

Insufficient Reliable Evidence To Rate Osteoarthritis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for the prevention of osteoarthritis or the improvement of symptoms.

Insufficient Reliable Evidence To Rate Overall mortality
Rating & evidence shown verbatim from Natural Medicines

It is unclear if following a Mediterranean diet reduces the risk of all-cause mortality.

Insufficient Reliable Evidence To Rate Pancreatic cancer
Rating & evidence shown verbatim from Natural Medicines

The Mediterranean diet may be associated with reductions in the risk of pancreatic cancer.

Insufficient Reliable Evidence To Rate Parkinson Disease
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for patients with Parkinson disease.

Insufficient Reliable Evidence To Rate Pre-eclampsia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for reducing the risk of pre-eclampsia.

Insufficient Reliable Evidence To Rate Pregnancy-induced hypertension
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for reducing the risk of pregnancy-induced hypertension.

Insufficient Reliable Evidence To Rate Preterm labor
Rating & evidence shown verbatim from Natural Medicines

The Mediterranean diet may be beneficial for reducing the risk of preterm labor.

Insufficient Reliable Evidence To Rate Prostate cancer
Rating & evidence shown verbatim from Natural Medicines

The Mediterranean diet may be associated with reductions in the risk of overall mortality, but not prostate cancer-related mortality, in patients with prostate cancer.

Insufficient Reliable Evidence To Rate Rheumatoid arthritis (RA)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for the prevention or treatment of RA.

Insufficient Reliable Evidence To Rate Sjogren syndrome
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for ocular dryness in people with Sjogren syndrome.

Insufficient Reliable Evidence To Rate Small for gestational age (SGA)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for preventing SGA in infants.

Insufficient Reliable Evidence To Rate Stillbirth
Rating & evidence shown verbatim from Natural Medicines

It is unclear if the Mediterranean diet is beneficial for reducing the risk of stillbirth.

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 people, the Mediterranean diet is safe and balanced. Because it emphasizes whole foods and a wide variety of nutrients, it does not carry the risks of very restrictive fad diets.

A few cautions apply. If you have kidney disease, you may need to limit certain high-potassium foods or nuts—check with your doctor. People with food allergies (such as to fish, nuts, or shellfish) should adjust the diet accordingly. The traditional diet sometimes includes moderate wine, but alcohol is not required and should be avoided by many people.

Pregnancy and breastfeeding: A Mediterranean-style diet is generally considered healthy during these times. Choose low-mercury fish, wash produce well, avoid unpasteurized cheeses, and skip alcohol entirely. Talk with your doctor or a dietitian to make sure your nutrient needs are met.

Side effects

Because it is a normal, balanced way of eating, the Mediterranean diet rarely causes side effects. Some people notice mild bloating or gas at first when they increase fiber-rich foods like beans, vegetables, and whole grains. This usually improves as your body adjusts; increasing fiber slowly and drinking enough water can help.

Olive oil and nuts are calorie-dense, so eating very large amounts could add unwanted calories. Otherwise, serious problems are unlikely for healthy people eating a varied diet.

Dosing

There is no pill or fixed "dose" for the Mediterranean diet—it is an overall pattern. The general approach is to make vegetables, fruits, whole grains, beans, and olive oil the base of most meals, eat fish a couple of times per week, choose nuts and seeds for snacks, and limit red meat, processed foods, and sweets.

A registered dietitian can help you tailor the pattern to your calorie needs, health conditions, and food preferences. If you have a medical condition or take medications, check with your pharmacist or doctor before making major dietary changes.

Pregnancy & Breastfeeding

Mediterranean Diet & Pregnancy

Possibly Safe

When the Mediterranean diet is used appropriately during pregnancy. However, the red wine component of the Mediterranean diet should be avoided in pregnancy.

  1. Assaf-Balut C, García de la Torre N, Fuentes M, et al. A high adherence to six food targets of the Mediterranean diet in the late first trimester is associated with a reduction in the risk of materno-foetal outcomes: The St. Carlos gestational diabetes me
  2. Assaf-Balut C, García de la Torre N, Durán A, et al. A Mediterranean diet with additional extra virgin olive oil and pistachios reduces the incidence of gestational diabetes mellitus (GDM): A randomized controlled trial: The St. Carlos GDM prevention stud
  3. De Giuseppe R, Bocchi M, Maffoni S, et al. Mediterranean Diet and Lifestyle Habits during Pregnancy: Is There an Association with Small for Gestational Age Infants? An Italian Single Centre Experience. Nutrients 2021;13(6):1941.
  4. Crovetto F, Crispi F, Casas R, et al. Effects of Mediterranean Diet or Mindfulness-Based Stress Reduction on Prevention of Small-for-Gestational Age Birth Weights in Newborns Born to At-Risk Pregnant Individuals: The IMPACT BCN Randomized Clinical Trial.
  5. Makarem N, Chau K, Miller EC, et al. Association of a Mediterranean Diet pattern with adverse pregnancy outcomes among US women. JAMA Netw Open 2022;5(12):e2248165.
  6. Yang J, Song Y, Gaskins AJ, et al. Mediterranean diet and female reproductive health over lifespan: a systematic review and meta-analysis. Am J Obstet Gynecol 2023;229(6):617-631.

Mediterranean Diet & Breastfeeding

Insufficient reliable information

There is insufficient reliable information available about the safety of the Mediterranean diet during lactation; however, the Mediterranean diet is a balanced diet that would not be expected to be harmful as long as nutritional needs are met.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 6 references that drive our Mediterranean Diet 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.

  1. Assaf-Balut C, García de la Torre N, Fuentes M, et al. A high adherence to six food targets of the Mediterranean diet in the late first trimester is associated with a reduction in the risk of materno-foetal outcomes: The St. Carlos gestational diabetes me
  2. Assaf-Balut C, García de la Torre N, Durán A, et al. A Mediterranean diet with additional extra virgin olive oil and pistachios reduces the incidence of gestational diabetes mellitus (GDM): A randomized controlled trial: The St. Carlos GDM prevention stud
  3. De Giuseppe R, Bocchi M, Maffoni S, et al. Mediterranean Diet and Lifestyle Habits during Pregnancy: Is There an Association with Small for Gestational Age Infants? An Italian Single Centre Experience. Nutrients 2021;13(6):1941. PubMed
  4. Crovetto F, Crispi F, Casas R, et al. Effects of Mediterranean Diet or Mindfulness-Based Stress Reduction on Prevention of Small-for-Gestational Age Birth Weights in Newborns Born to At-Risk Pregnant Individuals: The IMPACT BCN Randomized Clinical Trial. DOI
  5. Makarem N, Chau K, Miller EC, et al. Association of a Mediterranean Diet pattern with adverse pregnancy outcomes among US women. JAMA Netw Open 2022;5(12):e2248165. PubMed
  6. Yang J, Song Y, Gaskins AJ, et al. Mediterranean diet and female reproductive health over lifespan: a systematic review and meta-analysis. Am J Obstet Gynecol 2023;229(6):617-631. PubMed
Keep reading

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

Pharmacist Counseling Corner

Mediterranean Diet: Common Questions

What is Mediterranean Diet used for, and does it work?
People use Mediterranean Diet for many reasons, but the evidence varies by use. According to the Natural Medicines database, there is at least some clinical evidence supporting Mediterranean Diet for Cognitive function, Dementia, Diabetes and Stroke. For most other uses it has been studied for, the evidence is currently insufficient to rate. See the graded list on this page, and always confirm with your pharmacist or doctor.
Does Mediterranean Diet interact with prescription medications?
We do not currently list any known drug interactions for Mediterranean Diet. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Mediterranean Diet interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Mediterranean Diet with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Mediterranean Diet interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
Is the Mediterranean Diet good for weight loss?
It can support healthy weight management because it is filling and rich in fiber and whole foods. However, portion sizes still matter since olive oil and nuts are high in calories.
Do I have to give up meat completely?
No. The Mediterranean Diet limits red meat rather than banning it, and includes moderate amounts of fish, poultry, eggs, and dairy. The focus is on making plant foods the center of your plate.
Is wine required on the Mediterranean Diet?
No. Although some traditional versions include moderate red wine with meals, alcohol is not necessary and should be avoided by many people, including during pregnancy or if your doctor advises against it.
Is the Mediterranean Diet safe during pregnancy?
It is generally considered a healthy choice during pregnancy. Be sure to pick low-mercury fish, wash produce, avoid unpasteurized cheeses and alcohol, and talk with your doctor or dietitian.

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

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