Green Apple (Phloretin) Extract Powder Ingredients & Drug Interactions
by Herbadiet
What is this page for?
First and foremost: checking Green Apple (Phloretin) Extract Powder 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
Green Apple (Phloretin) Extract Powder is a dietary supplement by Herbadiet 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 Green Apple Extract, Powder. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Green Apple (Phloretin) Extract Powder by Herbadiet
Ask about any prescription or over-the-counter medication and we check it for interactions with Green Apple (Phloretin) Extract Powder by Herbadiet — 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 Green Apple (Phloretin) Extract Powder by Herbadiet
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: green apple extract in powder form. It's derived from the apple fruit and delivers the concentrated compounds found in apples, including the polyphenol phloretin.
Does it work?
Couldn't assess
The evidence for green apple extract is limited. We hold no established effectiveness ratings for Alzheimer's disease, cancer, dental plaque, diabetes, or diarrhea — the data we have rates these as 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 available evidence supports that use.
How safe is it?
Well-documented data
Apples as a food are well tolerated by most people. However, this is a concentrated extract powder, which is less well studied than whole apples.
The most common side effects are bloating and flatulence. Rarely, people allergic to other fruits in the Rosaceae family — apricot, almond, plum, peach, pear, and strawberry — can also be allergic to apples, and in very rare cases allergic reactions can be severe.
Apple seeds contain cyanide; while whole apples are safe, ingestion of large amounts of apple seeds can cause cyanide poisoning. For pregnancy and breastfeeding, whole apples are considered safe, but concentrated extracts like this powder aren't well studied.
There isn't enough data to know either way, so talk with your doctor or pharmacist for personalized advice if you're pregnant or nursing.
Meds to double-check
Major interaction found
Before taking this product, have your doctor or pharmacist review your medications for these Major and Moderate interactions: OATP substrates (drugs like fexofenadine, atenolol, and aliskiren), antihypertensive drugs (blood pressure medications), antidiabetes drugs, and lithium. Apple extract can significantly reduce how well your body absorbs some of these medications.
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 apple extract powder could be worth considering if you're interested in polyphenol supplementation — but the evidence for specific health claims is incomplete. The main concern is medication interactions: if you take blood pressure drugs, heart medications, blood sugar medications, allergy medications, or lithium, you need to check with your doctor or pharmacist before starting it.
A side conversation with your pharmacist about your current medications is the right first step.
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 Jul 18, 2023.
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 Green Apple (Phloretin) Extract Powder, straight from the product label.
| Brand | Herbadiet |
|---|---|
| Net contents | 0 Not Present |
| Market status | On market |
| Date entered into DSLD | Jul 18, 2023 |
| DSLD ID | 293752 |
| Product type | Botanical |
| Supplement form | Powder |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, 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 Green Apple (Phloretin) Extract Powder by Herbadiet, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Green Apple Extract, Powder | 10 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.
Formulation
Anti-oxidant & skin soother
Free of fillers, binders, artificial ingredients, dairy, soy, wheat, gluten, yeast
Being a natural produce, there can be minor color variations because of geographical & seasonal variation of the raw material. Herbal extracts can be hygroscopic & may agglomerate at times. This, in no way, affect the efficacy of the product.
Vegan
Ethically sourced Scientifically tested Premium grade ingredients
Formula
Standardized extract powder derived from unripe malus domestica fruit
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Directions: As a dietary supplement, take up to 20 mg, or as directed by your physician
Precautions
Keep out of reach of children.
Pregnant or lactating women should consult your physician before use.
Storage
Store in a dry, cool & dark.
FDA Disclaimer Statement
Warning: This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
Seals/Symbols
FSSAI (Food Safety and Standards Authority of India) Lic. No.: 20817018000147
General Statements
Batch No.: ARK/P/209
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Green Apple (Phloretin) Extract Powder by Herbadiet 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 Green Apple (Phloretin) Extract Powder by Herbadiet
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size10 mg Dosage formPowder Amounts shown are per serving.
Green Apple Extract, Powder
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...
Green Apple Extract, Powder monograph & interactionsGreen Apple (Phloretin) Extract Powder by Herbadiet Drug Interactions
HelloPharmacist Interaction Report
Herbadiet's Green Apple Extract Powder, through its apple extract content, interacts with a significant number of medications.
The most serious interaction is with OATP substrates (organic anion-transporting polypeptide substrates) — a Major severity class that includes drugs like fexofenadine, atenolol, and aliskiren. Apple extract can block how your body absorbs these drugs, cutting their blood levels by up to 78% in some cases, which may make them less effective.
Read the full breakdown — every affected drug type, severity by severity
You'll also want to watch for interactions with antihypertensive drugs (blood pressure medications), which may not work as well, and antidiabetes drugs, where the extract could interfere with blood glucose control. Additionally, there's concern that it might reduce lithium levels if you take lithium for mood disorders.
Altogether, these interactions span 300 individual medications.
Before you start this product, check your exact medications — especially any blood pressure drugs, heart rate medications, blood sugar medications, allergy drugs, or lithium — using the search tool below. Your doctor or pharmacist can tell you whether the timing or dose of your medications needs adjustment.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Green Apple (Phloretin) Extract Powder?
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 Green Apple (Phloretin) Extract Powder interact with 300 drugs. Click any drug to see the details.
1 of the 1 ingredient in Green Apple (Phloretin) Extract Powder interact with drugs. Each result below shows which ingredient is responsible. Green Apple Extract, Powder
AtorvastatinAtorvaliq
How Atorvastatin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Atorvastatin Calcium interactionBosentanTracleer
How Bosentan interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderAntihypertensive 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 Green Apple Extract, Powder + Bosentan interactionBrincidofovirTembexa
How Brincidofovir interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Brincidofovir interactionCeliprololCelicard
How Celiprolol interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderAntihypertensive 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 Green Apple Extract, Powder + Celiprolol interactionCerivastatin SodiumBaycol
How Cerivastatin Sodium interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Cerivastatin Sodium interactionCinoxacinCinobac
How Cinoxacin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Cinoxacin interactionCiprofloxacinCiloxan, Cipro, Cipro IV, Cipro XR, Ciprobay, Otiprio
How Ciprofloxacin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Ciprofloxacin interactionCiprofloxacin, HydrocortisoneCipro HC Otic
How Ciprofloxacin, Hydrocortisone interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Ciprofloxacin, Hydrocortisone interactionClinafloxacinClinafloxacin
How Clinafloxacin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Clinafloxacin interactionEnoxacinPenetrex
How Enoxacin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Enoxacin interactionEtoposideEtopophos, VePesid, VP16
How Etoposide interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Etoposide interactionEzetimibe, AtorvastatinLiptruzet
How Ezetimibe, Atorvastatin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Ezetimibe, Atorvastatin interactionFexofenadineAllegra
How Fexofenadine interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic Anion-transporting Polypeptide Substrates (oatp), Fexofenadine (allegra) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract, Powder + Fexofenadine interactionFexofenadine, PseudoephedrineAllegra D
How Fexofenadine, Pseudoephedrine interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderFexofenadine (allegra), Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of fexofenadine.
Read the full Green Apple Extract, Powder + Fexofenadine, Pseudoephedrine interactionFluvastatinLescol, Lescol XL
How Fluvastatin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Fluvastatin interactionGatifloxacinTequin, Tequin Injection
How Gatifloxacin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Gatifloxacin interactionGemifloxacinFactive
How Gemifloxacin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Gemifloxacin interactionGlyburideAlbert Glyburide, Diabeta, Glycron, Glynase, Glynase PresTab, Micronase +1 more
How Glyburide interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderAntidiabetes Drugs, Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Theoretically, consuming apple juice with antidiabetes drugs might interfere with blood glucose control.
Read the full Green Apple Extract, Powder + Glyburide interactionGlyburide, MetforminGlucovance
How Glyburide, Metformin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Glyburide, Metformin interactionGrepafloxacinRaxar
How Grepafloxacin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Grepafloxacin interactionIrinotecanCamptosar, Onivyde
How Irinotecan interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Irinotecan interactionIrinotecan Hydrochloride
How Irinotecan Hydrochloride interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Irinotecan Hydrochloride interactionIsoniazid, Pyrazinamide, RifampinRifater
How Isoniazid, Pyrazinamide, Rifampin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Isoniazid, Pyrazinamide, Rifampin interactionIsoniazid, RifampinRifamate
How Isoniazid, Rifampin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Isoniazid, Rifampin interactionLevofloxacinLeva-pak, Levaquin, Levaquin Injection
How Levofloxacin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Levofloxacin interactionLevofloxacin (ophthalmic)Levofloxacin
How Levofloxacin (ophthalmic) interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Levofloxacin (ophthalmic) interactionLomefloxacinMaxaquin
How Lomefloxacin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Lomefloxacin interactionLovastatinAltocor, Mevacor
How Lovastatin interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Lovastatin interactionMethotrexateOtrexup, Rasuvo, Reditrex, Rheumatrex
How Methotrexate interacts with Green Apple (Phloretin) Extract Powder — through 1 ingredient. Tap an ingredient for the detail:
Green Apple Extract, PowderOrganic 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 Green Apple Extract, Powder + Methotrexate interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Green Apple (Phloretin) Extract Powder 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.
Green Apple Extract, Powder
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 Green Apple (Phloretin) Extract Powder, from the product label.
Herbadiet
See all Herbadiet products- Name
- Arkure Health Care
- Street Address
- 11, Sector - 14
- City
- Rohtak
- State
- Haryana
- ZipCode
- 124001
- Web Address
- www.herbadiet.in
Green Apple (Phloretin) Extract Powder by Herbadiet: Common Questions
Does Green Apple (Phloretin) Extract Powder by Herbadiet interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm allergic to other fruits?
Is this safe during pregnancy?
What side effects should I expect?
Does this powder actually work for the health claims?
Why is apple juice a problem for so many of my medications?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Green Apple (Phloretin) Extract Powder 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 Green Apple (Phloretin) Extract Powder’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Green Apple (Phloretin) Extract Powder'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.
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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.
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