Phyto-Gen Crab Apple Bud Ingredients & Drug Interactions
by Genestra Brands
What is this page for?
First and foremost: checking Phyto-Gen Crab Apple Bud 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
Phyto-Gen Crab Apple Bud is a dietary supplement by Genestra Brands 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 Crab Apple (Malus sylvestris) bud extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Phyto-Gen Crab Apple Bud by Genestra Brands
Ask about any prescription or over-the-counter medication and we check it for interactions with Phyto-Gen Crab Apple Bud by Genestra Brands — 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 Phyto-Gen Crab Apple Bud by Genestra Brands
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
Phyto-Gen Crab Apple Bud contains one active ingredient: crab apple (Malus sylvestris) bud extract in liquid form. The extract is prepared with purified water, ethanol, and glycerin as inactive ingredients (the carriers and preservatives that hold the active compound).
Does it work?
Couldn't assess
The evidence we hold does not establish this product as effective for any of the conditions listed on the label — Alzheimer disease, cancer prevention, dental plaque, diabetes, and diarrhea all show insufficient reliable evidence to rate. That doesn't mean it can't help, but it means the clinical support isn't there yet.
How safe is it?
Well-documented data
Apples as a food are well tolerated by most people. The most common side effects from apple products are mild — bloating and flatulence.
A small number of people with allergies to fruits in the Rosaceae family (apricot, almond, plum, peach, pear, strawberry) can also be allergic to apples, and rarely this has led to serious reactions including anaphylaxis. Apple seeds contain cyanide; eating normal amounts of crab apple bud extract carries no known risk, but consuming large amounts of whole apple seeds could cause poisoning.
For pregnancy and breastfeeding, safety data on concentrated extracts isn't established — talk with your doctor or pharmacist about whether this product is right for you during these times.
Meds to double-check
Major interaction found
Before you take Phyto-Gen Crab Apple Bud, check with your doctor or pharmacist about any medications you're on for blood pressure control, heart rhythm, allergies, blood sugar, mood (particularly lithium), or kidney function — the extract may reduce how well these medications work. No interactions are documented in our data for other major drug categories, but the extract has confirmed effects on several important medication types.
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 works through crab apple extract, which has significant interactions with blood pressure drugs, heart medications, allergy medications, blood sugar drugs, and lithium. The evidence for its labeled uses isn't established yet.
If you take any prescription medications, check your exact drug list with your doctor or pharmacist before starting this supplement.
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 23, 2020.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Phyto-Gen Crab Apple Bud, straight from the product label.
| Brand | Genestra Brands |
|---|---|
| Barcode (UPC) | 883196117512 |
| Net contents | 0.5 fl. Oz.; 15 mL |
| Market status | On market |
| Date entered into DSLD | Jul 23, 2020 |
| DSLD ID | 231092 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other |
| 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 Phyto-Gen Crab Apple Bud by Genestra Brands, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Crab Apple (Malus sylvestris) bud extract | 0.28 mL | -- |
Other ingredients: purified Water, Ethanol, Glycerin
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions
Recommended Dose: Take 10 drops once daily or as recommended by your health professional. Invert bottle to 45 degrees and shake lightly allowing drops to fall directly into mouth or in 1/4 oz of water.
General Statements
For warnings and additional information, see outer box.
Contents may not fill package in order to accommodate required labeling. Please rely on stated quantity.
Scan to learn about our quality excellence
Precautions
Keep out of the reach of children.
Use only if safety seal is intact.
Warning: If you are pregnant or lactating, have any health condition or are taking any medication, consult your health professional before use.
This product was sealed for your protection. Do not use if box or contents are open or damaged.
Storage
Store in a cool, dry place.
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Phyto-Gen Crab Apple Bud by Genestra Brands 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 Phyto-Gen Crab Apple Bud by Genestra Brands
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size0.28 mL Dosage formLiquid Servings per container53 Amounts shown are per serving.
Crab Apple (Malus sylvestris) bud 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...
Crab Apple (Malus sylvestris) bud extract monograph & interactionsOther (inactive) ingredients: Purified Water, Ethanol, Glycerin. These complete the product’s ingredient list but are not active constituents.
Phyto-Gen Crab Apple Bud by Genestra Brands Drug Interactions
HelloPharmacist Interaction Report
Phyto-Gen Crab Apple Bud, made from crab apple bud extract, has documented interactions with a significant number of medications.
The most serious concern is with a large class of drugs called OATP substrates (organic anion-transporting polypeptide substrates) — the extract can substantially reduce how much of these medications your body absorbs, potentially lowering their effectiveness. This includes fexofenadine (the active ingredient in Allegra), atenolol (a blood pressure and heart medication), and aliskiren (a blood pressure drug), all rated Major severity.
Read the full breakdown — every affected drug type, severity by severity
The extract also interacts with several other medication types at Moderate severity. It may interfere with blood pressure control if you take antihypertensive drugs, and can lower blood sugar control if you're on antidiabetes medications.
Additionally, it raises theoretical concern about reducing lithium levels in patients taking that mood-stabilizing medication. Altogether, these interactions span 300 individual medications.
To check whether your exact medications are affected, use the interaction search tool on this page before you start the product. If you take any prescription drug for blood pressure, allergies, heart rhythm, blood sugar, mood, or kidney function, clear this supplement with your doctor or pharmacist first.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Phyto-Gen Crab Apple Bud?
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 Phyto-Gen Crab Apple Bud interact with 300 drugs. Click any drug to see the details.
1 of the 1 ingredient in Phyto-Gen Crab Apple Bud interact with drugs. Each result below shows which ingredient is responsible. Crab Apple (Malus sylvestris) bud extract
AtorvastatinAtorvaliq
How Atorvastatin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Atorvastatin Calcium interactionBosentanTracleer
How Bosentan interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Bosentan interactionBrincidofovirTembexa
How Brincidofovir interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Brincidofovir interactionCeliprololCelicard
How Celiprolol interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Celiprolol interactionCerivastatin SodiumBaycol
How Cerivastatin Sodium interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Cerivastatin Sodium interactionCinoxacinCinobac
How Cinoxacin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Cinoxacin interactionCiprofloxacinCiloxan, Cipro, Cipro IV, Cipro XR, Ciprobay, Otiprio
How Ciprofloxacin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Ciprofloxacin interactionCiprofloxacin, HydrocortisoneCipro HC Otic
How Ciprofloxacin, Hydrocortisone interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Ciprofloxacin, Hydrocortisone interactionClinafloxacinClinafloxacin
How Clinafloxacin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Clinafloxacin interactionEnoxacinPenetrex
How Enoxacin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Enoxacin interactionEtoposideEtopophos, VePesid, VP16
How Etoposide interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Etoposide interactionEzetimibe, AtorvastatinLiptruzet
How Ezetimibe, Atorvastatin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Ezetimibe, Atorvastatin interactionFexofenadineAllegra
How Fexofenadine interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Fexofenadine interactionFexofenadine, PseudoephedrineAllegra D
How Fexofenadine, Pseudoephedrine interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Fexofenadine, Pseudoephedrine interactionFluvastatinLescol, Lescol XL
How Fluvastatin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Fluvastatin interactionGatifloxacinTequin, Tequin Injection
How Gatifloxacin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Gatifloxacin interactionGemifloxacinFactive
How Gemifloxacin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Gemifloxacin interactionGlyburideAlbert Glyburide, Diabeta, Glycron, Glynase, Glynase PresTab, Micronase +1 more
How Glyburide interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Glyburide interactionGlyburide, MetforminGlucovance
How Glyburide, Metformin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Glyburide, Metformin interactionGrepafloxacinRaxar
How Grepafloxacin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Grepafloxacin interactionIrinotecanCamptosar, Onivyde
How Irinotecan interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Irinotecan interactionIrinotecan Hydrochloride
How Irinotecan Hydrochloride interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Irinotecan Hydrochloride interactionIsoniazid, Pyrazinamide, RifampinRifater
How Isoniazid, Pyrazinamide, Rifampin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Isoniazid, Pyrazinamide, Rifampin interactionIsoniazid, RifampinRifamate
How Isoniazid, Rifampin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Isoniazid, Rifampin interactionLevofloxacinLeva-pak, Levaquin, Levaquin Injection
How Levofloxacin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Levofloxacin interactionLevofloxacin (ophthalmic)Levofloxacin
How Levofloxacin (ophthalmic) interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Levofloxacin (ophthalmic) interactionLomefloxacinMaxaquin
How Lomefloxacin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Lomefloxacin interactionLovastatinAltocor, Mevacor
How Lovastatin interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Lovastatin interactionMethotrexateOtrexup, Rasuvo, Reditrex, Rheumatrex
How Methotrexate interacts with Phyto-Gen Crab Apple Bud — through 1 ingredient. Tap an ingredient for the detail:
Crab Apple (malus Sylvestris) Bud 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 Crab Apple (malus Sylvestris) Bud Extract + Methotrexate interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Phyto-Gen Crab Apple Bud 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.
Crab Apple (Malus sylvestris) bud 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 Phyto-Gen Crab Apple Bud, from the product label.
Genestra Brands
- Name
- Seroyal USA
- City
- Pittsburgh
- State
- PA
- ZipCode
- 15275
- Phone Number
- 1-888-737-6925
- Web Address
- seroyal.com
Phyto-Gen Crab Apple Bud by Genestra Brands: Common Questions
Does Phyto-Gen Crab Apple Bud by Genestra Brands 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 like peaches or strawberries?
What are the side effects?
Is it safe to take while pregnant or breastfeeding?
Does this product actually work for Alzheimer disease or diabetes?
Can I take this with blood pressure medication?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Phyto-Gen Crab Apple Bud 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 Phyto-Gen Crab Apple Bud’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Phyto-Gen Crab Apple Bud'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
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