Phloretin (Green Apple Extract) Ingredients & Drug Interactions
by Herbadiet
What is this page for?
First and foremost: checking Phloretin (Green Apple 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
Phloretin (Green Apple Extract) is a dietary supplement by Herbadiet with 2 active ingredients. 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. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Phloretin (Green Apple Extract) by Herbadiet
Ask about any prescription or over-the-counter medication and we check it for interactions with Phloretin (Green Apple Extract) 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 Phloretin (Green Apple Extract) 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 2 active ingredients, both listed as green apple extract. The capsule itself is made from vegetable cellulose.
Phloretin is a compound found in apple skins that's being studied for various health purposes, though the current evidence is limited. You're getting concentrated apple extract in capsule form rather than eating a whole fruit.
Does it work?
Couldn't assess
We don't have reliable evidence yet on whether this product works for Alzheimer's disease, cancer, dental plaque, diabetes, or diarrhea. The rating for each of these is insufficient evidence to rate.
That doesn't mean it won't work — just that well-designed clinical trials haven't established it yet. If you're considering this for a specific health goal, it's worth talking through with your doctor about what the research actually supports.
How safe is it?
Well-documented data
Whole apples as food are well tolerated and generally safe when eaten in normal amounts. The most common side effects from apple products are bloating and flatulence.
Rarely, people allergic to other fruits in the Rosaceae family — apricots, almonds, plums, peaches, pears, and strawberries — can have allergic reactions to apples, including anaphylaxis. Apple seeds contain cyanide; ingesting large amounts could cause serious poisoning.
For pregnancy and breastfeeding: apples as food are considered safe in both, but concentrated extracts like this supplement haven't been well studied. There isn't enough data to know whether this extract is safe in pregnancy or while nursing.
Talk with your doctor or pharmacist about whether it's right for you in those situations.
Meds to double-check
Major interaction found
Before taking this product, check with your doctor or pharmacist if you take any blood pressure medications (especially atenolol), antihistamines (especially fexofenadine), blood pressure drugs like aliskiren, diabetes medications, or lithium. These are Moderate to Major interactions that can weaken how well your medication works.
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 green apple extract can significantly reduce absorption of heart medications, blood pressure drugs, allergy medications, and drugs for blood sugar control — a real concern if you're on any of those. It's generally well tolerated, but common side effects include bloating and gas, and allergies are possible.
If you take any medications, check them against the interaction tool on this page, and talk it over with your doctor or pharmacist before starting.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 19, 2021.
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 Phloretin (Green Apple Extract), straight from the product label.
| Brand | Herbadiet |
|---|---|
| Barcode (UPC) | 880545175698 |
| Net contents | 60 V-Cap(s) |
| Market status | On market |
| Date entered into DSLD | Nov 19, 2021 |
| DSLD ID | 257593 |
| Product type | Botanical |
| Supplement form | Capsule |
| 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 Phloretin (Green Apple Extract) by Herbadiet, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Green Apple Extract | 240 mg | -- |
| Green Apple Extract | 10 mg | -- |
Other ingredients: Vegetable Cellulose Shell
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
Herbadiet Green Apple is a high potency standardized extract. This full spectrum extract retains all the active constituents in nature intended balanced ratio. Encapsulating this goodness in our quick release, easy to swallow vegan capsules, guarantees you a premium quality nutritional supplement.
Formulation
Boosts metabolism Improves skin health Supports digestive process
Natural color variation may occur in this product
100% natural Anti-oxidant & skin soother
Non-GMO
Suitable for vegetarians and vegans
Free Of preservatives, binders, gluten, artificial ingredients, dairy, soy, wheat, yeast
Every batch 3rd party lab tested
FDA Disclaimer Statement
These statements have not been evaluated by FDA. This product is not intended to diagnose, treat, cure or prevent any disease.
Precautions
Do not use if seal under the cap is broken or missing. Dietary supplement shouldn't be used as a substitute for a varied diet
Caution: If you are pregnant, breast feeding, or taking medications, consult your doctor before use.
Discontinue use and consult your doctor if any adverse reactions occur.
Keep out of reach of children.
Not for medicinal use
Storage
Store in cool, dry place
Seals/Symbols
fssai Lic. No.: 20817018000147 Vcaps Plus GMP Good Manufacturing Practice Quality Product
General Statements
1% for the planet
License Number: 10018064001315
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Directions for Use: Take 1 capsule twice a day, preferably with meals or as directed by your physician.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Phloretin (Green Apple Extract) 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 Phloretin (Green Apple Extract) by Herbadiet
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container60 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Green Apple Extract
Interacts with300 drugs
Apples are a nutritious whole food that provides fiber, vitamins, and antioxidant plant compounds, and eating them regularly fits well into a healthy...
Green Apple Extract monograph & interactionsGreen Apple Extract
Interacts with300 drugs
Apples are a nutritious whole food that provides fiber, vitamins, and antioxidant plant compounds, and eating them regularly fits well into a healthy...
Green Apple Extract monograph & interactionsOther (inactive) ingredients: Vegetable Cellulose Shell. These complete the product’s ingredient list but are not active constituents.
Phloretin (Green Apple Extract) by Herbadiet Drug Interactions
HelloPharmacist Interaction Report
Phloretin (Green Apple Extract) by Herbadiet does interact with medications, and it's important to check before you start.
The green apple extract can significantly reduce how your body absorbs certain drugs by blocking a transporter called OATP (organic anion-transporting polypeptide substrates). This is a Major interaction — meaning it can meaningfully affect how well your medication works.
Read the full breakdown — every affected drug type, severity by severity
The most concerning interactions are with heart and blood pressure medications. If you take atenolol (Tenormin), research shows apple juice can drop your blood levels by 58% to 82%, which could weaken its effect.
Fexofenadine (Allegra, an antihistamine) and aliskiren (Tekturna, Rasilez, a blood pressure drug) see similar drops in absorption — up to 78% and 63% respectively. Other antihypertensive drugs (blood pressure medications) and antidiabetes medications may also be affected, since apple juice can interfere with blood sugar control and blood pressure management.
Lithium, used for mood disorders, is another concern — a case report documented undetectable lithium levels when taken with apple juice. Altogether, these interactions span 300 individual medications.
Use the search tool below to check your exact prescriptions before taking this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Phloretin (Green Apple 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 Phloretin (Green Apple Extract) interact with 300 drugs. Click any drug to see the details.
1 of the 2 ingredients in Phloretin (Green Apple Extract) interact with drugs. Each result below shows which ingredient is responsible. Green Apple Extract
AtorvastatinAtorvaliq
How Atorvastatin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Atorvastatin Calcium interactionBosentanTracleer
How Bosentan interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractAntihypertensive Drugs, Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Read the full Green Apple Extract + Bosentan interactionBrincidofovirTembexa
How Brincidofovir interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Brincidofovir interactionCeliprololCelicard
How Celiprolol interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractAntihypertensive Drugs, Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Read the full Green Apple Extract + Celiprolol interactionCerivastatin SodiumBaycol
How Cerivastatin Sodium interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Cerivastatin Sodium interactionCinoxacinCinobac
How Cinoxacin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Cinoxacin interactionCiprofloxacinCiloxan, Cipro, Cipro IV, Cipro XR, Ciprobay, Otiprio
How Ciprofloxacin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Ciprofloxacin interactionCiprofloxacin, HydrocortisoneCipro HC Otic
How Ciprofloxacin, Hydrocortisone interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Ciprofloxacin, Hydrocortisone interactionClinafloxacinClinafloxacin
How Clinafloxacin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Clinafloxacin interactionEnoxacinPenetrex
How Enoxacin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Enoxacin interactionEtoposideEtopophos, VePesid, VP16
How Etoposide interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Etoposide interactionEzetimibe, AtorvastatinLiptruzet
How Ezetimibe, Atorvastatin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Ezetimibe, Atorvastatin interactionFexofenadineAllegra
How Fexofenadine interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic 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 + Fexofenadine interactionFexofenadine, PseudoephedrineAllegra D
How Fexofenadine, Pseudoephedrine interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractFexofenadine (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 + Fexofenadine, Pseudoephedrine interactionFluvastatinLescol, Lescol XL
How Fluvastatin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Fluvastatin interactionGatifloxacinTequin, Tequin Injection
How Gatifloxacin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Gatifloxacin interactionGemifloxacinFactive
How Gemifloxacin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Gemifloxacin interactionGlyburideAlbert Glyburide, Diabeta, Glycron, Glynase, Glynase PresTab, Micronase +1 more
How Glyburide interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractAntidiabetes 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 + Glyburide interactionGlyburide, MetforminGlucovance
How Glyburide, Metformin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Antidiabetes Drugs Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Glyburide, Metformin interactionGrepafloxacinRaxar
How Grepafloxacin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Grepafloxacin interactionIrinotecanCamptosar, Onivyde
How Irinotecan interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Irinotecan interactionIrinotecan Hydrochloride
How Irinotecan Hydrochloride interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Irinotecan Hydrochloride interactionIsoniazid, Pyrazinamide, RifampinRifater
How Isoniazid, Pyrazinamide, Rifampin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Isoniazid, Pyrazinamide, Rifampin interactionIsoniazid, RifampinRifamate
How Isoniazid, Rifampin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Isoniazid, Rifampin interactionLevofloxacinLeva-pak, Levaquin, Levaquin Injection
How Levofloxacin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Levofloxacin interactionLevofloxacin (ophthalmic)Levofloxacin
How Levofloxacin (ophthalmic) interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Levofloxacin (ophthalmic) interactionLomefloxacinMaxaquin
How Lomefloxacin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Lomefloxacin interactionLovastatinAltocor, Mevacor
How Lovastatin interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Lovastatin interactionMethotrexateOtrexup, Rasuvo, Reditrex, Rheumatrex
How Methotrexate interacts with Phloretin (Green Apple Extract) — through 1 ingredient. Tap an ingredient for the detail:
Green Apple ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Green Apple Extract + Methotrexate interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Phloretin (Green Apple 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.
Green Apple Extract
Organic Anion-Transporting Polypeptide Substrates (Oatp)
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Research shows that consuming apple juice inhibits OATP, which reduces bioavailability of oral drugs that are substrates of OATP. Fexofenadine, atenolol, and aliskiren are substrates of OATP. Clinical research shows that coadministration of apple juice decreases bioavailability of fexofenadine by up to 78%, aliskiren by 63%, and atenolol by up to 82%. These effects appear to increase with larger quantities of apple juice. It is thought that apple juice might affect OATP for only a short time. Therefore, separating drug administration and consumption of apple juice by at least 4 hours might avoid this interaction.
Aliskiren (Tekturna, Rasilez)
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of aliskiren.
Pharmacokinetic research shows that coadministration of apple juice 200 mL along with aliskiren 150 mg decreases the bioavailability of aliskiren by 63%. Apple juice seems to inhibit organic anion transporting polypeptide (OATP), which is involved in drug uptake in the gut, liver, and kidney. It is thought that apple juice might affect OATP for only a short time. Therefore, separating drug administration and consumption of apple juice by at least 4 hours might avoid this interaction.
Antidiabetes Drugs
Theoretically, consuming apple juice with antidiabetes drugs might interfere with blood glucose control.
Clinical research suggests that consuming apples or drinking apple juice can raise blood glucose levels, with the effects of drinking apple juice being more significant than consuming apples.
Antihypertensive Drugs
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Some clinical evidence suggests that consuming apple and cherry juice can increase blood pressure in elderly patients.
Atenolol (Tenormin)
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of atenolol.
Pharmacokinetic research shows that coadministration of apple juice 600-1200 mL decreases levels of atenolol by 58% to 82% in a dose-dependent manner. Apple juice seems to inhibit organic anion transporting polypeptide (OATP), which is involved in drug uptake in the gut, liver, and kidney. It is thought that apple juice might affect OATP for only a short time. Therefore, separating drug administration and consumption of apple juice by at least 4 hours might avoid this interaction.
Fexofenadine (Allegra)
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of fexofenadine.
Pharmacokinetic research shows that coadministration of apple juice 400-1200 mL along with fexofenadine 60-120 mg decreases bioavailability of fexofenadine by up to 78%. Coadministration with smaller quantities of apple juice (150 mL or less) does not appear to affect the bioavailability of fexofenadine. Apple juice seems to inhibit organic anion transporting polypeptide (OATP), which is involved in drug uptake in the gut, liver, and kidney. It is thought that apple juice might affect OATP for only a short time. Therefore, separating drug administration and consumption of apple juice by at least 4 hours might avoid this interaction.
Lithium
There is some concern that concomitant consumption of apple juice might decrease oral absorption and blood levels of lithium.
In one case report, a patient had an undetectable serum lithium level when lithium citrate was administered with apple juice. When lithium was administered with an alternative beverage, the lithium level became detectable and the patient demonstrated clinical improvement.
Brand information
Manufacturer and brand details for Phloretin (Green Apple Extract), from the product label.
Herbadiet
See all Herbadiet products- Name
- Arkure Health Care
- City
- Haryana
- State
- India
- Web Address
- www.herbadiet.in
Phloretin (Green Apple Extract) by Herbadiet: Common Questions
Does Phloretin (Green Apple Extract) by Herbadiet interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Will this interact with my blood pressure medicine?
What are the most common side effects?
Is this safe in pregnancy?
Can I take this with allergy medicine like Allegra?
What does phloretin do?
Can I take this if I'm breastfeeding?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Phloretin (Green Apple 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 Phloretin (Green Apple Extract)’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Phloretin (Green Apple 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 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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