Blood Orange Extract Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Blood Orange Extract 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
Blood Orange Extract is a dietary supplement by BulkSupplements.com with 1 active ingredient. Its ingredients are commonly taken for vitamin c source, digestive upset, stress and relaxation (aromatherapy).Based on those ingredients, 246 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Blood Orange Fruit Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Blood Orange Extract by BulkSupplements.com
Ask about any prescription or over-the-counter medication and we check it for interactions with Blood Orange Extract by BulkSupplements.com — 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 Blood Orange Extract by BulkSupplements.com
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
This product contains one active ingredient: blood orange fruit extract. The extract is derived from sweet orange and concentrates the compounds found in the whole fruit.
There are no inactive ingredients listed.
Does it work?
Couldn't assess
The evidence we hold does not establish effectiveness for any of the conditions listed—asthma, prostate cancer, common cold, constipation, depression, and pre-procedural anxiety all carry a rating of insufficient reliable evidence. That means the research available to us doesn't show clear benefit for these uses yet.
If you're considering this product for a specific health reason, talk with your doctor or pharmacist about what the current evidence actually supports.
How safe is it?
Well-documented data
Sweet orange fruit and juice are safe as food in normal amounts, but this product is a concentrated extract—and concentrated supplements and essential oils from orange haven't been well studied for safety. The safety data we have mainly covers eating the whole fruit.
There is one report of intestinal cramping in children after ingesting large amounts of sweet orange peel. For pregnancy and lactation, the fruit itself is considered likely safe, but again, concentrated extracts lack the safety data to make the same claim.
Because this is a concentrated form, use caution and talk with your doctor or pharmacist, especially if you're pregnant, breastfeeding, or have a sensitive stomach.
Meds to double-check
Major interaction found
Before taking this product, double-check with your pharmacist or doctor if you take pravastatin or other cholesterol drugs, heart medications like celiprolol, the antiparasitic ivermectin, the allergy medication fexofenadine, quinolone antibiotics, or any drug that uses P-glycoprotein for absorption—a large class that includes many common medications. The interactions are documented as Major or Moderate severity, and some can dramatically reduce how well your drugs work or increase their blood levels.
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.
If you're taking any prescription medications—especially for heart disease, high cholesterol, allergies, parasitic infections, or antibiotics—you'll need to check this product with your doctor or pharmacist before starting. The interaction potential is serious and dose-timing matters.
For people not on medications, the whole fruit is safe to eat, but this concentrated extract hasn't been well studied, so weigh that against your reasons for taking it.
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 Apr 23, 2024.
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 Blood Orange Extract, straight from the product label.
| Brand | BulkSupplements.com |
|---|---|
| Barcode (UPC) | X001PHQOS5 |
| Net contents | 1 Kilogram(s); 35.3 Ounce(s) |
| Market status | On market |
| Date entered into DSLD | Apr 23, 2024 |
| DSLD ID | 311168 |
| Product type | Botanical |
| Supplement form | Powder |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Dairy Free |
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 Blood Orange Extract by BulkSupplements.com, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Blood Orange Fruit Extract | 500 mg | -- |
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.
Brand IP Statement(s)
BulkSupplements.com Clean & pure bulk supplements
Formulation
Free of: Added sugar, soy, dairy, yeast, gluten, additives
Color may vary
Suggested/Recommended/Usage/Directions
Suggested use: As a dietary supplement, take 500 mg (about 1/5 tsp) up to three times daily, or as directed by a physician.
General Statements
Use an accurate milligram scale to measure.
New
Storage
Contents are sold by weight, not volume. Settling may occur. Store in a dry, cool place
FDA Disclaimer Statement
Warning: This product is not intended to diagnose, treat, cure, or prevent any disease.
Precautions
Always consult a physician before taking any dietary supplement.
Keep out of reach of children.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Blood Orange Extract by BulkSupplements.com 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 Blood Orange Extract by BulkSupplements.com
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size500 mg Dosage formPowder Servings per container2000 Amounts shown are per serving.
Blood Orange Fruit Extract
Interacts with246 drugs
Sweet orange is a common citrus fruit that is a good source of vitamin C, fiber, and antioxidants, and is enjoyed as a food worldwide. Its peel and es...
Blood Orange Fruit Extract monograph & interactionsBlood Orange Extract by BulkSupplements.com Drug Interactions
HelloPharmacist Interaction Report
Blood Orange Extract by BulkSupplements.com interacts with a significant number of medications through its active ingredient, blood orange fruit extract (derived from sweet orange).
The most serious interactions are Major severity: it can increase pravastatin levels by roughly 150%, decrease absorption of the antiparasitic ivermectin, and cause a dramatic drop—up to 90%—in celiprolol (a heart medication) levels when you take them together. It also blocks the absorption pathway (OATP) that many oral drugs rely on, which can reduce how much of those medications your body absorbs.
Read the full breakdown — every affected drug type, severity by severity
Additionally, this extract moderately affects fexofenadine (an allergy medication), reducing its absorption by about 72%, and may interfere with P-glycoprotein substrates—a large drug-transport system that moves many medications in and out of cells. Calcium-fortified versions of orange juice can also reduce absorption of quinolone antibiotics (a common antibiotic class).
Altogether, these interactions span 246 individual medications. Because this extract comes from sweet orange and works through the same absorption pathways as orange juice, the timing and dose matter: separating your doses by at least 4 hours may help, but you'll want to check your exact medications with a pharmacist or your doctor before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Blood Orange Extract?
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 Blood Orange Extract interact with 246 drugs. Click any drug to see the details.
1 of the 1 ingredient in Blood Orange Extract interact with drugs. Each result below shows which ingredient is responsible. Blood Orange Fruit Extract
AtorvastatinAtorvaliq
How Atorvastatin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Atorvastatin Calcium interactionBosentanTracleer
How Bosentan interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Bosentan interactionBrincidofovirTembexa
How Brincidofovir interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Brincidofovir interactionCeliprololCelicard
How Celiprolol interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractCeliprolol (celicard), Organic Anion-transporting Polypeptide Substrates (oatp) +1 Major
Interaction Summary
Consuming sweet orange with celiprolol can decrease oral absorption of celiprolol.
Read the full Blood Orange Fruit Extract + Celiprolol interactionCerivastatin SodiumBaycol
How Cerivastatin Sodium interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Cerivastatin Sodium interactionCinoxacinCinobac
How Cinoxacin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Cinoxacin interactionCiprofloxacinCiloxan, Cipro, Cipro IV, Cipro XR, Ciprobay, Otiprio
How Ciprofloxacin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractQuinolone Antibiotics, Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Calcium-fortified sweet orange juice might reduce quinolone absorption.
Read the full Blood Orange Fruit Extract + Ciprofloxacin interactionCiprofloxacin, HydrocortisoneCipro HC Otic
How Ciprofloxacin, Hydrocortisone interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Ciprofloxacin, Hydrocortisone interactionClinafloxacinClinafloxacin
How Clinafloxacin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Clinafloxacin interactionEnoxacinPenetrex
How Enoxacin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Enoxacin interactionEtoposideEtopophos, VePesid, VP16
How Etoposide interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractP-glycoprotein Substrates, Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Sweet orange juice seems to modulate P-glycoprotein (P-gp), which might affect the blood levels of P-gp substrates.
Read the full Blood Orange Fruit Extract + Etoposide interactionEzetimibe, AtorvastatinLiptruzet
How Ezetimibe, Atorvastatin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Ezetimibe, Atorvastatin interactionFexofenadineAllegra
How Fexofenadine interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractP-glycoprotein Substrates, Organic Anion-transporting Polypeptide Substrates (oatp) +1 Major
Interaction Summary
Sweet orange juice seems to modulate P-glycoprotein (P-gp), which might affect the blood levels of P-gp substrates.
Read the full Blood Orange Fruit Extract + Fexofenadine interactionFexofenadine, PseudoephedrineAllegra D
How Fexofenadine, Pseudoephedrine interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractFexofenadine (allegra), P-glycoprotein Substrates +1 Major
Interaction Summary
Consuming sweet orange juice with fexofenadine can decrease oral absorption of fexofenadine.
Read the full Blood Orange Fruit Extract + Fexofenadine, Pseudoephedrine interactionFluvastatinLescol, Lescol XL
How Fluvastatin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Fluvastatin interactionGatifloxacinTequin, Tequin Injection
How Gatifloxacin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Gatifloxacin interactionGemifloxacinFactive
How Gemifloxacin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Gemifloxacin interactionGlyburideAlbert Glyburide, Diabeta, Glycron, Glynase, Glynase PresTab, Micronase +1 more
How Glyburide interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Glyburide interactionGlyburide, MetforminGlucovance
How Glyburide, Metformin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Glyburide, Metformin interactionGrepafloxacinRaxar
How Grepafloxacin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Grepafloxacin interactionIrinotecanCamptosar, Onivyde
How Irinotecan interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Irinotecan interactionIrinotecan Hydrochloride
How Irinotecan Hydrochloride interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Irinotecan Hydrochloride interactionIsoniazid, Pyrazinamide, RifampinRifater
How Isoniazid, Pyrazinamide, Rifampin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Isoniazid, Pyrazinamide, Rifampin interactionIsoniazid, RifampinRifamate
How Isoniazid, Rifampin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Isoniazid, Rifampin interactionIvermectinMectizan, Sklice, Soolantra, Stromectol
How Ivermectin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractP-glycoprotein Substrates, Ivermectin (stromectol, Others) Major
Interaction Summary
Sweet orange juice seems to modulate P-glycoprotein (P-gp), which might affect the blood levels of P-gp substrates.
Read the full Blood Orange Fruit Extract + Ivermectin interactionLevofloxacinLeva-pak, Levaquin, Levaquin Injection
How Levofloxacin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Levofloxacin interactionLevofloxacin (ophthalmic)Levofloxacin
How Levofloxacin (ophthalmic) interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Levofloxacin (ophthalmic) interactionLomefloxacinMaxaquin
How Lomefloxacin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Lomefloxacin interactionLovastatinAltocor, Mevacor
How Lovastatin interacts with Blood Orange Extract — through 1 ingredient. Tap an ingredient for the detail:
Blood Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Blood Orange Fruit Extract + Lovastatin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Blood Orange Extract 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.
Blood Orange Fruit Extract
Celiprolol (Celicard)
Consuming sweet orange with celiprolol can decrease oral absorption of celiprolol.
A pharmacokinetic study in healthy volunteers shows that celiprolol levels, after a single dose of 100 mg, are decreased by up to 90% in people who drink sweet orange juice 200 mL three times daily. It's not known if lower consumption of sweet orange juice will have the same effect. Theoretically, this occurs due to short-term inhibition of organic anion transporting polypeptide (OATP). Recommend separating drug administration and consumption of sweet orange by at least 4 hours.
Ivermectin (Stromectol, Others)
Consuming sweet orange juice with ivermectin can decrease the oral absorption of ivermectin.
A pharmacokinetic study in healthy volunteers shows that taking ivermectin orally with sweet orange juice 750 mL over 4 hours reduces the bioavailability of ivermectin. This effect does not seem to be related to effects on P-glycoprotein. The effect on ivermectin is more pronounced in males compared to females.
Organic Anion-Transporting Polypeptide Substrates (Oatp)
Consuming sweet orange juice can decrease oral absorption of OATP substrates. Separate administration by at least 4 hours.
Clinical research shows that consuming sweet orange juice inhibits OATP, which reduces bioavailability of oral drugs that are substrates of OATP. For example, sweet orange juice decreases bioavailability of fexofenadine, a substrate of OATP, by about 72% and of celiprolol, another OATP substrate, by up to 90%. Since sweet orange juice seems to affect OATP for a short time, recommend separating drug administration and consumption of sweet orange juice by at least 4 hours.
Pravastatin (Pravachol)
Consuming sweet orange juice with pravastatin can increase the absorption of pravastatin.
A small pharmacokinetic study in healthy volunteers shows that consuming sweet orange juice 800 mL over 3 hours, including before, during, and after taking pravastatin 10 mg, increases pravastatin levels by about 149%, without affecting pravastatin elimination. Theoretically this effect might be due to modulation of organic anion transporting polypeptides (OATPs) by sweet orange juice. Sweet orange juice does not seem to affect simvastatin levels, but it is not known if sweet orange affects any of the other statins.
Fexofenadine (Allegra)
Consuming sweet orange juice with fexofenadine can decrease oral absorption of fexofenadine.
Clinical research shows that coadministration of sweet orange juice 1200 mL decreases bioavailability of fexofenadine by about 72%. In an animal model, sweet orange juice decreased bioavailability of fexofenadine by 31%. Fexofenadine manufacturer data indicates that concomitant administration of sweet orange juice and fexofenadine results in larger wheal and flare sizes in research models. This suggests that sweet orange reduces the clinical response to fexofenadine. Theoretically, this occurs due to short-term inhibition of organic anion transporting polypeptide (OATP). Recommend separating drug administration and consumption of sweet orange by at least 4 hours.
P-Glycoprotein Substrates
Sweet orange juice seems to modulate P-glycoprotein (P-gp), which might affect the blood levels of P-gp substrates.
Animal and in vitro research suggest that orange juice extract inhibits drug efflux by P-gp, increasing absorption and levels of P-gp substrates. In contrast, pharmacokinetic research in humans shows that drinking large amounts of sweet orange juice decreases absorption and levels of the P-gp substrate celiprolol. This suggests that orange juice actually induces drug efflux by P-gp or affects drug levels by another mechanism such as inhibiting the gut drug transporter called organic anion transporting polypeptide (OATP). Until more is known, sweet orange juice should be used cautiously in people taking P-gp substrates.
Quinolone Antibiotics
Calcium-fortified sweet orange juice might reduce quinolone absorption.
Calcium binds to quinolones in the gut. Theoretically, the calcium in certain fortified orange juices can also bind to quinolone antibiotics and reduce their absorption and levels.
Brand information
Manufacturer and brand details for Blood Orange Extract, from the product label.
BulkSupplements.com
See all BulkSupplements.com products- Name
- BulkSupplements.com
- Street Address
- 7511 Eastgate Rd
- City
- Henderson
- State
- NV
- ZipCode
- 89011
- Web Address
- BulkSupplements.com
Blood Orange Extract by BulkSupplements.com: Common Questions
Does Blood Orange Extract by BulkSupplements.com interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Does this work for colds, asthma, or depression?
Is it safe to take while pregnant or breastfeeding?
What's the difference between eating an orange and taking this powder?
Can I just take this 4 hours away from my medications to avoid interactions?
Are there any side effects?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Blood Orange Extract 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 Blood Orange Extract’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Blood Orange Extract'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 17 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.
Sweet Orange 17 references
- Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
- FDA, CFSAN. FDA-approved potassium health claim notification for potassium containing foods. 2000. Available at: www.cfsan.fda.gov/~dms/hclm-k.html.
- Kurowska EM, Spence JD, Jordan J, et al. HDL-cholesterol-raising effect of orange juice in subjects with hypercholesterolemia. Am J Clin Nutr 2000;72:1095-100. PubMed
- Murry JJ, Healy MD. Drug-mineral interactions: a new responsibility for the hospital dietician. J Am Diet Assoc 1991;91:66-73.
- Bailey DG, Dresser GK, Munoz C, et al. Reduction of fexofenadine bioavailability by fruit juices. Clin Pharmacol Ther 2001;69:P21.
- Pletz MW, Petzold P, Allen A, et al. Effect of calcium carbonate on bioavailability of orally administered gemifloxacin. Antimicrob Agents Chemother 2003;47:2158-60.. PubMed
- Lilja JJ, Juntti-Patinen L, Neuvonen PJ. Orange juice substantially reduces the bioavailability of the beta-adrenergic-blocking agent celiprolol. Clin Pharmacol Ther 2004;75:184-90.
- Tian R, Koyabu N, Takanaga H, et al. Effects of grapefruit juice and orange juice on the intestinal efflux of P-glycoprotein substrates. Pharm Res 2002;19:802-9. PubMed
- Vanapalli SR, Chen Y, Ellingrod VL, et al. Orange juice decreases the oral bioavailability of ivermectin in health volunteers. Clin Pharmacol Ther 2003;73 (Abstract PDII-A-10):P94.
- Huang SM, Lesko LJ. Drug-drug, drug-dietary supplement, and drug-citrus fruit and other food interactions: what have we learned? J Clin Pharmacol 2004;44:559-69. PubMed
- Koitabashi Y, Kumai T, Matsumoto N, et al. Orange juice increased the bioavailability of pravastatin, 3-hydroxy-3-methylglutaryl CoA reductase inhibitor, in rats and healthy human subjects. Life Sci 2006;78:2852-9. PubMed
- Takanaga H, Ohnishi A, Yamada S, et al. Polymethoxylated flavones in orange juice are inhibitors of P-glycoprotein but not cytochrome P450 3A4. J Pharmacol Exp Ther 2000;293:230-6. DOI
- 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
- Kays MB, Overholser BR, Mueller BA, et al. Effects of sevelamer hydrochloride and calcium acetate on the oral bioavailability of ciprofloxacin. Am J Kidney Dis. 2003;42(6):1253-9. PubMed
- Neuhofel, A. L., Wilton, J. H., Victory, J. M., Hejmanowsk, L. G., and Amsden, G. W. Lack of bioequivalence of ciprofloxacin when administered with calcium-fortified orange juice: a new twist on an old interaction. J Clin Pharmacol. 2002;42(4):461-466. DOI
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