AppleWise 600 mg Ingredients & Drug Interactions
What is this page for?
First and foremost: checking AppleWise 600 mg against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
AppleWise 600 mg is a dietary supplement by Life Extension with 1 active ingredient. Its ingredients are commonly taken for general nutrition and fiber intake, heart and cholesterol health, blood sugar and weight management.Based on those ingredients, 300 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Apple (Malus domestica) extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against AppleWise 600 mg by Life Extension
Ask about any prescription or over-the-counter medication and we check it for interactions with AppleWise 600 mg by Life Extension — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of AppleWise 600 mg by Life Extension
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
AppleWise contains one active ingredient: apple (Malus domestica) extract at 600 mg per capsule. The capsule itself is made from vegetable cellulose, and it also contains rice flour, silica, and vegetable stearate as inactive ingredients to help with manufacturing and stability.
Does it work?
Couldn't assess
The evidence for apple extract isn't established for the uses listed in the data we hold. For Alzheimer disease, cancer, dental plaque, diabetes, and diarrhea, the studies we have access to show insufficient reliable evidence to rate whether it works.
That doesn't mean it doesn't work — it means the science isn't settled enough yet to say either way.
How safe is it?
Well-documented data
Apple fruit eaten in normal amounts is well tolerated, and whole apples are considered safe in pregnancy and while breastfeeding. This product is a concentrated extract, though, and concentrated extracts haven't been well studied in pregnancy or lactation — talk with your doctor or pharmacist about whether it's right for you if you're pregnant or nursing.
The most common side effects from apple products are bloating and flatulence. Apple seeds contain cyanide; ingesting large amounts of them can cause serious poisoning.
Rarely, people allergic to other fruits in the Rosaceae family (apricot, almond, plum, peach, pear, strawberry) can also be allergic to apples, and in rare cases that allergy has led to anaphylaxis.
Meds to double-check
Major interaction found
Before you take AppleWise, double-check with your own doctor or pharmacist if you're on any medications — particularly OATP substrates (a large group), blood pressure drugs, allergy medications like fexofenadine, heart medications like atenolol, diabetes medications, or lithium. Apple extract can significantly reduce how much of these drugs your body absorbs, which may make them less effective.
The bottom line
Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Major medication interactions have been identified, and safety information is well characterized.
This product may be worth considering if you're interested in apple extract for general wellness, but it carries real interactions with heart, blood pressure, allergy, diabetes, and psychiatric medications. If you take any prescription drugs, check your exact medications with the tool on this page before you start.
Talk with your doctor or pharmacist about whether it's right for you, especially if you're pregnant, nursing, or have a history of fruit allergies.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Aug 23, 2020.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about AppleWise 600 mg, straight from the product label.
| Brand | Life Extension |
|---|---|
| Barcode (UPC) | 737870162506 |
| Net contents | 30 Vegetarian Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Aug 23, 2020 |
| DSLD ID | 232062 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for AppleWise 600 mg by Life Extension, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Apple (Malus domestica) extract | 600 mg | -- |
Other ingredients: Vegetable Cellulose, Rice Flour, Silica, Vegetable Stearate
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions
Read the entire label and follow the directions carefully prior to use. Directions: Take one (1) capsule one to four times daily with or without food, or as recommended by a healthcare practitioner.
Precautions
Warnings: Keep out of reach of children.
Do not exceed recommended dose. Do not purchase if outer seal is broken or damaged.
When using nutritional supplements, please consult with your physician if you are undergoing treatment for a medical condition or if you are pregnant or lactating.
Warning: Reproductive Harm - www.P65Warnings.ca.gov.
To report a serious adverse event or obtain product information, contact 1-866-280-2852.
Seals/Symbols
Non GMO LE Certified
Formulation
Non GMO LE Certified
Formula
Apple-A-Day Polyphenol extract
FDA Statement of Identity
Dietary Supplement
Storage
Store tightly closed in a cool, dry place.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
AppleWise 600 mg by Life Extension label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in AppleWise 600 mg by Life Extension
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Vegetarian Capsule(s) Dosage formCapsule Amounts shown are per serving.
Apple (Malus domestica) extract
Interacts with300 drugs
Apples are a nutritious whole food that provides fiber, vitamins, and antioxidant plant compounds, and eating them regularly fits well into a healthy...
Apple (Malus domestica) extract monograph & interactionsOther (inactive) ingredients: Vegetable Cellulose, Rice Flour, Silica, Vegetable Stearate. These complete the product’s ingredient list but are not active constituents.
AppleWise 600 mg by Life Extension Drug Interactions
HelloPharmacist Interaction Report
AppleWise 600 mg by Life Extension contains apple extract, which interacts with a number of medications.
The most serious concern is with a large group of drugs called OATP substrates (organic anion-transporting polypeptide substrates) — apple can significantly reduce how much of these drugs your body absorbs, making them less effective. Fexofenadine, atenolol, and aliskiren are three examples, each affected at Major or Moderate severity.
Read the full breakdown — every affected drug type, severity by severity
Apple extract also interacts with several other drug categories. It may decrease blood levels of atenolol (a beta-blocker for heart rate and blood pressure) by 58% to 82%, depending on how much apple you consume.
Fexofenadine (an allergy medication) may have its effectiveness reduced by up to 78%, and aliskiren (a blood pressure drug) may see a 63% drop in absorption. Apple can also interfere with blood pressure control if you're taking antihypertensive medications, and it may raise blood glucose levels if you're on diabetes medications.
There's also concern that apple might decrease lithium levels in people taking it for mood disorders.
Altogether, these interactions span 300 individual medications. If you take any prescription medication, use the search tool on this page to check your exact drugs before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against AppleWise 600 mg?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in AppleWise 600 mg interact with 300 drugs. Click any drug to see the details.
1 of the 1 ingredient in AppleWise 600 mg interact with drugs. Each result below shows which ingredient is responsible. Apple (Malus domestica) extract
Methotrexate SodiumXatmep
How Methotrexate Sodium interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Methotrexate Sodium interactionMoxifloxacinAvelox
How Moxifloxacin interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Moxifloxacin interactionNalidixic AcidNegGram
How Nalidixic Acid interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Nalidixic Acid interactionNiacin, LovastatinAdvicor
How Niacin, Lovastatin interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Niacin, Lovastatin interactionNiacin, SimvastatinSimcor
How Niacin, Simvastatin interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Niacin, Simvastatin interactionNorfloxacinNorflox, Noroxin
How Norfloxacin interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Norfloxacin interactionOfloxacinFloxin, Floxin Injection, Floxin Otic, Oflox
How Ofloxacin interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Ofloxacin interactionPaclitaxelAbraxane, Taxol
How Paclitaxel interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Paclitaxel interactionPravastatin SodiumPravachol
How Pravastatin Sodium interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Pravastatin Sodium interactionRifampinRifadin, Rifadin Injection, Rimactane, Rofactor
How Rifampin interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Rifampin interactionSaquinavirFortovase, Invirase
How Saquinavir interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Saquinavir interactionSimvastatinZocor
How Simvastatin interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Simvastatin interactionSimvastatin, SitagliptinJuvisync
How Simvastatin, Sitagliptin interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Antidiabetes Drugs Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Simvastatin, Sitagliptin interactionSparfloxacinZagam
How Sparfloxacin interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Sparfloxacin interactionTorsemideDemadex, Soaanz
How Torsemide interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractAntihypertensive Drugs, Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Read the full Apple (malus Domestica) Extract + Torsemide interactionTrovafloxacinTrovan, Trovan Injection
How Trovafloxacin interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Trovafloxacin interactionSimvastatin/ezetimibeVytorin
How Simvastatin/ezetimibe interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Apple (malus Domestica) Extract + Simvastatin/ezetimibe interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, consuming apple juice with antidiabetes drugs might interfere with blood glucose control.
Read the full Apple (malus Domestica) Extract + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractAntihypertensive Drugs Moderate
Interaction Summary
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Read the full Apple (malus Domestica) Extract + Acebutolol interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractAntihypertensive Drugs Moderate
Interaction Summary
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Read the full Apple (malus Domestica) Extract + Acetazolamide interactionAcetohexamideDymelor
How Acetohexamide interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, consuming apple juice with antidiabetes drugs might interfere with blood glucose control.
Read the full Apple (malus Domestica) Extract + Acetohexamide interactionAlbiglutideTanzeum
How Albiglutide interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, consuming apple juice with antidiabetes drugs might interfere with blood glucose control.
Read the full Apple (malus Domestica) Extract + Albiglutide interactionAliskirenTekturna
How Aliskiren interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractAntihypertensive Drugs, Aliskiren (tekturna, Rasilez) Moderate
Interaction Summary
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Read the full Apple (malus Domestica) Extract + Aliskiren interactionAlogliptinNesina
How Alogliptin interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, consuming apple juice with antidiabetes drugs might interfere with blood glucose control.
Read the full Apple (malus Domestica) Extract + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, consuming apple juice with antidiabetes drugs might interfere with blood glucose control.
Read the full Apple (malus Domestica) Extract + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, consuming apple juice with antidiabetes drugs might interfere with blood glucose control.
Read the full Apple (malus Domestica) Extract + Alogliptin, Pioglitazone interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractAntihypertensive Drugs Moderate
Interaction Summary
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Read the full Apple (malus Domestica) Extract + Ambrisentan interactionAmilorideAmilamont, Midamor
How Amiloride interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractAntihypertensive Drugs Moderate
Interaction Summary
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Read the full Apple (malus Domestica) Extract + Amiloride interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractAntihypertensive Drugs Moderate
Interaction Summary
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Read the full Apple (malus Domestica) Extract + Amiloride, Hydrochlorothiazide interactionAmlodipineNorliqva
How Amlodipine interacts with AppleWise 600 mg — through 1 ingredient. Tap an ingredient for the detail:
Apple (malus Domestica) ExtractAntihypertensive Drugs Moderate
Interaction Summary
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Read the full Apple (malus Domestica) Extract + Amlodipine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in AppleWise 600 mg with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Apple (Malus domestica) extract
Organic Anion-Transporting Polypeptide Substrates (Oatp)
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Research shows that consuming apple juice inhibits OATP, which reduces bioavailability of oral drugs that are substrates of OATP. Fexofenadine, atenolol, and aliskiren are substrates of OATP. Clinical research shows that coadministration of apple juice decreases bioavailability of fexofenadine by up to 78%, aliskiren by 63%, and atenolol by up to 82%. These effects appear to increase with larger quantities of apple juice. It is thought that apple juice might affect OATP for only a short time. Therefore, separating drug administration and consumption of apple juice by at least 4 hours might avoid this interaction.
Aliskiren (Tekturna, Rasilez)
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of aliskiren.
Pharmacokinetic research shows that coadministration of apple juice 200 mL along with aliskiren 150 mg decreases the bioavailability of aliskiren by 63%. Apple juice seems to inhibit organic anion transporting polypeptide (OATP), which is involved in drug uptake in the gut, liver, and kidney. It is thought that apple juice might affect OATP for only a short time. Therefore, separating drug administration and consumption of apple juice by at least 4 hours might avoid this interaction.
Antidiabetes Drugs
Theoretically, consuming apple juice with antidiabetes drugs might interfere with blood glucose control.
Clinical research suggests that consuming apples or drinking apple juice can raise blood glucose levels, with the effects of drinking apple juice being more significant than consuming apples.
Antihypertensive Drugs
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Some clinical evidence suggests that consuming apple and cherry juice can increase blood pressure in elderly patients.
Atenolol (Tenormin)
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of atenolol.
Pharmacokinetic research shows that coadministration of apple juice 600-1200 mL decreases levels of atenolol by 58% to 82% in a dose-dependent manner. Apple juice seems to inhibit organic anion transporting polypeptide (OATP), which is involved in drug uptake in the gut, liver, and kidney. It is thought that apple juice might affect OATP for only a short time. Therefore, separating drug administration and consumption of apple juice by at least 4 hours might avoid this interaction.
Fexofenadine (Allegra)
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of fexofenadine.
Pharmacokinetic research shows that coadministration of apple juice 400-1200 mL along with fexofenadine 60-120 mg decreases bioavailability of fexofenadine by up to 78%. Coadministration with smaller quantities of apple juice (150 mL or less) does not appear to affect the bioavailability of fexofenadine. Apple juice seems to inhibit organic anion transporting polypeptide (OATP), which is involved in drug uptake in the gut, liver, and kidney. It is thought that apple juice might affect OATP for only a short time. Therefore, separating drug administration and consumption of apple juice by at least 4 hours might avoid this interaction.
Lithium
There is some concern that concomitant consumption of apple juice might decrease oral absorption and blood levels of lithium.
In one case report, a patient had an undetectable serum lithium level when lithium citrate was administered with apple juice. When lithium was administered with an alternative beverage, the lithium level became detectable and the patient demonstrated clinical improvement.
Brand information
Manufacturer and brand details for AppleWise 600 mg, from the product label.
Life Extension
See all Life Extension products- Name
- Quality Supplements and Vitamins, Inc.
- City
- Ft. Lauderdale
- State
- FL
- ZipCode
- 33309
- Phone Number
- 1-866-280-2852
- Web Address
- LifeExtension.com
AppleWise 600 mg by Life Extension: Common Questions
Does AppleWise 600 mg by Life Extension interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What exactly is in AppleWise?
Does this product actually work for anything?
Is apple extract safe to take if I'm pregnant or breastfeeding?
What side effects might I have?
I'm allergic to cherries. Can I take this?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if AppleWise 600 mg is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind AppleWise 600 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
AppleWise 600 mg's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 16 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Apple 16 references
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- Bailey DG, Dresser GK, Munoz C, et al. Reduction of fexofenadine bioavailability by fruit juices. Clin Pharmacol Ther 2001;69:P21.
- Rodriguez J, Crespo JF, Lopez-Rubio A, et al. Clinical cross-reactivity among foods of the Rosaceae family. J Allergy Clin Immunol 2000;106:183-189. PubMed
- Greenblatt DJ. Analysis of drug interactions involving fruit beverages and organic anion-transporting polypeptides. J Clin Pharmacol 2009;49:1403-7. PubMed
- Bailey DG. Fruit juice inhibition of uptake transport: a new type of food-drug interaction. Br J Clin Pharmacol 2010;70:645-55. PubMed
- Kamath AV, Yao M, Zhang Y, Chong S. Effect of fruit juices on the oral bioavailability of fexofenadine in rats. J Pharm Sci 2005;94:233-9. PubMed
- Tapaninen T, Neuvonen PJ, Niemi M. Orange and apple juice greatly reduce the plasma concentrations of the OATP2B1 substrate aliskiren. Br J Clin Pharmacol 2011;71:718-26. PubMed
- Jeon H, Jang IJ, Lee S, et al. Apple juice greatly reduces systemic exposure to atenolol. Br J Clin Pharmacol 2012 May 11. doi: 10.1111/j.1365-2125.2012.04324.x. [Epub ahead of print]. PubMed
- Visvanathan, R., Chen, R., Horowitz, M., and Chapman, I. Blood pressure responses in healthy older people to 50 g carbohydrate drinks with differing glycaemic effects. Br J Nutr 2004;92(2):335-340. PubMed
- Asp, N. G., Agardh, C. D., Ahren, B., Dencker, I., Johansson, C. G., Lundquist, I., Nyman, M., Sartor, G., and Schersten, B. Dietary fibre in type II diabetes. Acta Med Scand Suppl 1981;656:47-50. PubMed
- Akamine Y, Miura M, Komori H, et al. Effects of one-time apple juice ingestion on the pharmacokinetics of fexofenadine enantiomers. Eur J Clin Pharmacol. 2014 Sep;70(9):1087-95. PubMed
- Luo J, Imai H, Ohyama T, et al. The Pharmacokinetic Exposure to Fexofenadine is Volume-Dependently Reduced in Healthy Subjects Following Oral Administration With Apple Juice. Clin Transl Sci. 2016 Aug;9(4):201-6. PubMed
- Tsiougkos N, Vovolis V. Repeated anaphylactic episodes to orange and apple. Eur Ann Allergy Clin Immunol. 2013 May;45(3):113-5.
- Rubido S, García-Caballero L, Abeleira MT, Limeres J, García M, Diz P. Effect of chewing an apple on dental plaque removal and on salivary bacterial viability. PLoS One. 2018;13(7):e0199812. PubMed
- Krishnasamy S, Lomer MCE, Marciani L, et al. Processing apples to puree or juice speeds gastric emptying and reduces postprandial intestinal volumes and satiety in healthy adults. J Nutr 2020;150(11):2890-9. PubMed
- Awan S, Abelleira A, Khehra L, Hieber R. Undetectable serum lithium concentrations after coadministration of liquid lithium citrate and apple juice: A case report. Ment Health Clin. 2021;11(1):27-30. PubMed
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