European Leg Solution Ingredients & Drug Interactions
What is this page for?
First and foremost: checking European Leg Solution 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
European Leg Solution is a dietary supplement by Life Extension 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 Diosmin 95. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against European Leg Solution by Life Extension
Ask about any prescription or over-the-counter medication and we check it for interactions with European Leg Solution 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 European Leg Solution 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
European Leg Solution contains one active ingredient: diosmin 95, a flavonoid extracted from sweet orange that's used to support vein and circulation health. The tablet also includes inactive ingredients—povidone, microcrystalline cellulose, corn starch, and vegetable stearate—which serve as binders and fillers to hold the tablet together.
Does it work?
Couldn't assess
The evidence we hold doesn't establish that diosmin 95 is effective for any of the conditions listed in the research—including pre-procedural anxiety, asthma, prostate cancer, common cold, constipation, or depression. All of those ratings show insufficient reliable evidence to rate.
If you're considering this product for a specific health goal, talk with your doctor or pharmacist about whether the evidence supports its use for your situation.
How safe is it?
Well-documented data
Sweet orange fruit and juice are safe as food for most people, but concentrated supplements like this one—where diosmin 95 is extracted—haven't been as thoroughly studied, so use caution, especially if you're taking high doses or using it long-term. A small number of children have reported intestinal cramping after ingesting large amounts of sweet orange peel.
The product is rated as likely safe during pregnancy and lactation, but if you're pregnant or nursing, run it by your doctor or pharmacist before starting.
Meds to double-check
Major interaction found
Before you take this product, check with your doctor or pharmacist if you're on pravastatin or any cholesterol-lowering drug (risk of dangerously high blood levels); OATP substrates, which include certain heart and cancer medications; celiprolol or other beta-blockers; ivermectin or other antiparasitic drugs; P-glycoprotein substrates; quinolone antibiotics like ciprofloxacin; or fexofenadine or other antihistamines. Timing doses several hours apart can help with some, but medical guidance is needed before you combine them.
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 appeal to someone looking to support circulation health, but the strong interactions with blood-pressure and cholesterol medications, antibiotics, and antiparasitic drugs make it essential to check your exact prescriptions first. If you take any of those drug types—or any other regular medications—talk with your doctor or pharmacist before starting European Leg Solution.
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 22, 2016.
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 European Leg Solution, straight from the product label.
| Brand | Life Extension |
|---|---|
| Barcode (UPC) | 737870104230 |
| Net contents | 30 Vegetarian Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Apr 22, 2016 |
| DSLD ID | 59055 |
| Product type | Non-nutrient/non-botanical |
| Supplement form | Tablet Or Pill |
| 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 European Leg Solution by Life Extension, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Diosmin 95 | 600 mg | -- |
Other ingredients: Povidone, Microcrystalline Cellulose, Corn Starch, 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.
Formula
Featuring Certified Diosmin 95 600 mg
General Statements
Scan for product info
Supports Healthy Circulation and Youthful Appearance of the Legs*
To report a serious adverse event or obtain product information, contact 1-866-280-2852.
Suggested/Recommended/Usage/Directions
Read the entire label and follow the directions carefully prior to use. DIRECTIONS: Take one (1) tablet daily, preferably in the morning with or without food, or as recommended by a healthcare practitioner. Suggested duration of use: 3 months. Repeat as necessary.
Precautions
CAUTION: If you are taking anti-coagulant or anti-platelet medications, or have a bleeding disorder, consult your healthcare provider before taking this product.
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.
FDA Disclaimer Statement
*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
FDA Statement of Identity
Dietary Supplement
Storage
Store tightly closed in a cool, dry place.
General
Q01042D
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
European Leg Solution 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 European Leg Solution by Life Extension
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Vegetarian Tablet(s) Dosage formTablet Or Pill Amounts shown are per serving.
Diosmin 95
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...
Diosmin 95 monograph & interactionsOther (inactive) ingredients: Povidone, Microcrystalline Cellulose, Corn Starch, Vegetable Stearate. These complete the product’s ingredient list but are not active constituents.
European Leg Solution by Life Extension Drug Interactions
HelloPharmacist Interaction Report
European Leg Solution by Life Extension contains diosmin 95, a flavonoid derived from sweet orange, and it does interact with a significant number of medications.
The most serious concern is with pravastatin (a cholesterol drug), where sweet orange can nearly double the drug's blood levels—a Major-severity interaction that requires careful timing or medical oversight.
Read the full breakdown — every affected drug type, severity by severity
Diosmin 95 also carries Major-severity interactions with several other drug types: it can block absorption of OATP substrates (a broad class that includes certain heart and cancer medications), reduce how much ivermectin (an antiparasitic) your body takes in, and sharply decrease celiprolol (a beta-blocker) levels. Additionally, Moderate-severity interactions exist with P-glycoprotein substrates (drugs pumped out of cells), quinolone antibiotics (especially if the orange juice is calcium-fortified), and fexofenadine (an allergy medication), all of which may have reduced effectiveness.
Altogether, these interactions span 246 individual medications. Because diosmin 95 is derived from sweet orange, the timing and amount matter—separating doses by at least 4 hours can help with some interactions, but others require more careful management.
Use the medication checker below to see if any of your prescriptions are affected before you start this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against European Leg Solution?
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 European Leg Solution interact with 246 drugs. Click any drug to see the details.
1 of the 1 ingredient in European Leg Solution interact with drugs. Each result below shows which ingredient is responsible. Diosmin 95
AtorvastatinAtorvaliq
How Atorvastatin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Atorvastatin Calcium interactionBosentanTracleer
How Bosentan interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Bosentan interactionBrincidofovirTembexa
How Brincidofovir interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Brincidofovir interactionCeliprololCelicard
How Celiprolol interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Celiprolol (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 Diosmin 95 + Celiprolol interactionCerivastatin SodiumBaycol
How Cerivastatin Sodium interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Cerivastatin Sodium interactionCinoxacinCinobac
How Cinoxacin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Cinoxacin interactionCiprofloxacinCiloxan, Cipro, Cipro IV, Cipro XR, Ciprobay, Otiprio
How Ciprofloxacin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Quinolone Antibiotics, Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Calcium-fortified sweet orange juice might reduce quinolone absorption.
Read the full Diosmin 95 + Ciprofloxacin interactionCiprofloxacin, HydrocortisoneCipro HC Otic
How Ciprofloxacin, Hydrocortisone interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Ciprofloxacin, Hydrocortisone interactionClinafloxacinClinafloxacin
How Clinafloxacin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Clinafloxacin interactionEnoxacinPenetrex
How Enoxacin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Enoxacin interactionEtoposideEtopophos, VePesid, VP16
How Etoposide interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95P-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 Diosmin 95 + Etoposide interactionEzetimibe, AtorvastatinLiptruzet
How Ezetimibe, Atorvastatin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Ezetimibe, Atorvastatin interactionFexofenadineAllegra
How Fexofenadine interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95P-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 Diosmin 95 + Fexofenadine interactionFexofenadine, PseudoephedrineAllegra D
How Fexofenadine, Pseudoephedrine interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Fexofenadine (allegra), P-glycoprotein Substrates +1 Major
Interaction Summary
Consuming sweet orange juice with fexofenadine can decrease oral absorption of fexofenadine.
Read the full Diosmin 95 + Fexofenadine, Pseudoephedrine interactionFluvastatinLescol, Lescol XL
How Fluvastatin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Fluvastatin interactionGatifloxacinTequin, Tequin Injection
How Gatifloxacin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Gatifloxacin interactionGemifloxacinFactive
How Gemifloxacin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Gemifloxacin interactionGlyburideAlbert Glyburide, Diabeta, Glycron, Glynase, Glynase PresTab, Micronase +1 more
How Glyburide interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Glyburide interactionGlyburide, MetforminGlucovance
How Glyburide, Metformin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Glyburide, Metformin interactionGrepafloxacinRaxar
How Grepafloxacin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Grepafloxacin interactionIrinotecanCamptosar, Onivyde
How Irinotecan interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Irinotecan interactionIrinotecan Hydrochloride
How Irinotecan Hydrochloride interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Irinotecan Hydrochloride interactionIsoniazid, Pyrazinamide, RifampinRifater
How Isoniazid, Pyrazinamide, Rifampin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Isoniazid, Pyrazinamide, Rifampin interactionIsoniazid, RifampinRifamate
How Isoniazid, Rifampin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Isoniazid, Rifampin interactionIvermectinMectizan, Sklice, Soolantra, Stromectol
How Ivermectin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95P-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 Diosmin 95 + Ivermectin interactionLevofloxacinLeva-pak, Levaquin, Levaquin Injection
How Levofloxacin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Levofloxacin interactionLevofloxacin (ophthalmic)Levofloxacin
How Levofloxacin (ophthalmic) interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Levofloxacin (ophthalmic) interactionLomefloxacinMaxaquin
How Lomefloxacin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Lomefloxacin interactionLovastatinAltocor, Mevacor
How Lovastatin interacts with European Leg Solution — through 1 ingredient. Tap an ingredient for the detail:
Diosmin 95Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Diosmin 95 + Lovastatin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in European Leg Solution 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.
Diosmin 95
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 European Leg Solution, 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
- 866-280-2852
- Web Address
- www.lef.org
European Leg Solution by Life Extension: Common Questions
Does European Leg Solution by Life Extension interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What is diosmin 95, and what is it supposed to do?
Can I take this if I'm on blood-pressure or cholesterol medication?
Is this product safe during pregnancy or while breastfeeding?
Are there any side effects I should know about?
Does it matter if I eat orange juice or citrus while taking this product?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if European Leg Solution 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 European Leg Solution’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
European Leg Solution'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