Red Orange Complex 500 mg Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Red Orange Complex 500 mg 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
Red Orange Complex 500 mg is a dietary supplement by Swanson Superior Herbs with 1 active ingredient. Its ingredients are commonly taken for vitamin c source, digestive upset, stress and relaxation (aromatherapy).Based on those ingredients, 246 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Red Orange Complex H. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Red Orange Complex 500 mg by Swanson Superior Herbs
Ask about any prescription or over-the-counter medication and we check it for interactions with Red Orange Complex 500 mg by Swanson Superior Herbs — 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 Red Orange Complex 500 mg by Swanson Superior Herbs
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: red orange complex, a concentrated form of compounds from sweet orange fruit. Red orange extract delivers the bioactive substances found in orange peel and fruit, though in a more concentrated form than you'd get from eating a whole orange.
Does it work?
Couldn't assess
The evidence we hold on red orange complex's effectiveness for the six purposes listed—pre-procedural anxiety, asthma, prostate cancer, common cold, constipation, and depression—is insufficient to rate. In other words, we don't have reliable data yet showing whether it works for these uses.
How safe is it?
Well-documented data
Sweet orange fruit and juice are safe as food for most people when eaten in normal amounts; however, concentrated supplements like this one have not been studied as thoroughly, so use caution. There are rare reports of intestinal cramping in children who ingested large amounts of orange peel.
Pregnancy and lactation data suggests it is likely safe in those states, though as always, talk it over with your doctor or pharmacist before starting during pregnancy or while breastfeeding.
Meds to double-check
Major interaction found
Before you take this product, double-check with your pharmacist or doctor if you're on pravastatin or any cholesterol-lowering drug, heart medication like celiprolol, ivermectin, OATP substrates (which include some antihistamines), P-glycoprotein substrates, quinolone antibiotics, or fexofenadine. Red orange has Major or Moderate interactions with these drug types, and absorption or blood levels can shift significantly.
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.
Red orange complex could be worth considering if you're interested in orange fruit compounds and have checked your medications with your pharmacist first—but the interaction profile is substantial. Anyone taking a cholesterol drug, heart medication, antihistamine, antibiotic, antiparasitic, or other prescription should absolutely verify their specific medications before starting this product.
Talk with your own doctor or pharmacist about whether this product makes sense for you.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Apr 25, 2018.
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 Red Orange Complex 500 mg, straight from the product label.
| Brand | Swanson Superior Herbs |
|---|---|
| Barcode (UPC) | 087614142562 |
| Net contents | 30 Veggie Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Apr 25, 2018 |
| DSLD ID | 175732 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other |
| Intended target group(s) | Vegetarian, 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 Red Orange Complex 500 mg by Swanson Superior Herbs, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Red Orange Complex H | 500 mg | -- |
Other ingredients: Maltodextrin, Hypromellose, Rice extract, Silica
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.
FDA Statement of Identity
Dietary Supplement
Seals/Symbols
V Vegetarian formula Guaranteed purity & potency
Formulation
V Vegetarian formula
Precautions
Do not use if seal is broken.
Keep out of reach of children.
Warning: This product is not intended for use in children.
Consult your healthcare provider before use if you are pregnant, nursing or taking prescription medications.
Storage
Store in a cool, dry place.
Suggested/Recommended/Usage/Directions
Suggested Use: As a dietary supplement, take one veggie capsule per day with water.
General Statements
To reorder, call toll free 1-800-437-4148 or visit our website at www.swansonvitamins.com
Brand IP Statement(s)
Red Orange Complex is a registered trademark of Bionap SRL.
General
SWH256 Rev 0 06 08 17
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Red Orange Complex 500 mg by Swanson Superior Herbs 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 Red Orange Complex 500 mg by Swanson Superior Herbs
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Veggie Capsule(s) Dosage formCapsule Amounts shown are per serving.
Red Orange Complex H
Interacts with246 drugs
Sweet orange is a common citrus fruit that is a good source of vitamin C, fiber, and antioxidants, and is enjoyed as a food worldwide. Its peel and es...
Red Orange Complex H monograph & interactionsOther (inactive) ingredients: Maltodextrin, Hypromellose, Rice extract, Silica. These complete the product’s ingredient list but are not active constituents.
Red Orange Complex 500 mg by Swanson Superior Herbs Drug Interactions
HelloPharmacist Interaction Report
Red Orange Complex 500 mg by Swanson Superior Herbs contains red orange complex, which interacts with a significant number of medications.
The most serious interaction is with pravastatin (a cholesterol-lowering drug)—red orange can increase pravastatin levels by about 149%, which may raise the risk of side effects. Altogether, these interactions span 246 individual medications.
Read the full breakdown — every affected drug type, severity by severity
Red orange also has Major-severity interactions with drugs called OATP substrates (which includes some antihistamines and other common medications), ivermectin (an antiparasitic), and celiprolol (a heart medication)—each through different mechanisms that either reduce or increase how much drug your body absorbs. Separating doses by at least 4 hours may help with OATP substrates, though you'll want to discuss this with your doctor or pharmacist for your specific situation.
Moderate interactions exist with P-glycoprotein substrates (a large drug class), quinolone antibiotics (especially if your orange juice is calcium-fortified), and fexofenadine (an allergy medication). Red orange juice can reduce how well your body absorbs fexofenadine—one study found an absorption drop of 72% with large juice amounts.
Use the medication checker below to search your exact prescriptions before you start this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Red Orange Complex 500 mg?
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 Red Orange Complex 500 mg interact with 246 drugs. Click any drug to see the details.
1 of the 1 ingredient in Red Orange Complex 500 mg interact with drugs. Each result below shows which ingredient is responsible. Red Orange Complex H
AtorvastatinAtorvaliq
How Atorvastatin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Atorvastatin Calcium interactionBosentanTracleer
How Bosentan interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Bosentan interactionBrincidofovirTembexa
How Brincidofovir interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Brincidofovir interactionCeliprololCelicard
How Celiprolol interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HCeliprolol (celicard), Organic Anion-transporting Polypeptide Substrates (oatp) +1 Major
Interaction Summary
Consuming sweet orange with celiprolol can decrease oral absorption of celiprolol.
Read the full Red Orange Complex H + Celiprolol interactionCerivastatin SodiumBaycol
How Cerivastatin Sodium interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Cerivastatin Sodium interactionCinoxacinCinobac
How Cinoxacin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Cinoxacin interactionCiprofloxacinCiloxan, Cipro, Cipro IV, Cipro XR, Ciprobay, Otiprio
How Ciprofloxacin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HQuinolone Antibiotics, Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Calcium-fortified sweet orange juice might reduce quinolone absorption.
Read the full Red Orange Complex H + Ciprofloxacin interactionCiprofloxacin, HydrocortisoneCipro HC Otic
How Ciprofloxacin, Hydrocortisone interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Ciprofloxacin, Hydrocortisone interactionClinafloxacinClinafloxacin
How Clinafloxacin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Clinafloxacin interactionEnoxacinPenetrex
How Enoxacin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Enoxacin interactionEtoposideEtopophos, VePesid, VP16
How Etoposide interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HP-glycoprotein Substrates, Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Sweet orange juice seems to modulate P-glycoprotein (P-gp), which might affect the blood levels of P-gp substrates.
Read the full Red Orange Complex H + Etoposide interactionEzetimibe, AtorvastatinLiptruzet
How Ezetimibe, Atorvastatin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Ezetimibe, Atorvastatin interactionFexofenadineAllegra
How Fexofenadine interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HP-glycoprotein Substrates, Organic Anion-transporting Polypeptide Substrates (oatp) +1 Major
Interaction Summary
Sweet orange juice seems to modulate P-glycoprotein (P-gp), which might affect the blood levels of P-gp substrates.
Read the full Red Orange Complex H + Fexofenadine interactionFexofenadine, PseudoephedrineAllegra D
How Fexofenadine, Pseudoephedrine interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HFexofenadine (allegra), P-glycoprotein Substrates +1 Major
Interaction Summary
Consuming sweet orange juice with fexofenadine can decrease oral absorption of fexofenadine.
Read the full Red Orange Complex H + Fexofenadine, Pseudoephedrine interactionFluvastatinLescol, Lescol XL
How Fluvastatin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Fluvastatin interactionGatifloxacinTequin, Tequin Injection
How Gatifloxacin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Gatifloxacin interactionGemifloxacinFactive
How Gemifloxacin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Gemifloxacin interactionGlyburideAlbert Glyburide, Diabeta, Glycron, Glynase, Glynase PresTab, Micronase +1 more
How Glyburide interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Glyburide interactionGlyburide, MetforminGlucovance
How Glyburide, Metformin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Glyburide, Metformin interactionGrepafloxacinRaxar
How Grepafloxacin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Grepafloxacin interactionIrinotecanCamptosar, Onivyde
How Irinotecan interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Irinotecan interactionIrinotecan Hydrochloride
How Irinotecan Hydrochloride interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Irinotecan Hydrochloride interactionIsoniazid, Pyrazinamide, RifampinRifater
How Isoniazid, Pyrazinamide, Rifampin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Isoniazid, Pyrazinamide, Rifampin interactionIsoniazid, RifampinRifamate
How Isoniazid, Rifampin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Isoniazid, Rifampin interactionIvermectinMectizan, Sklice, Soolantra, Stromectol
How Ivermectin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HP-glycoprotein Substrates, Ivermectin (stromectol, Others) Major
Interaction Summary
Sweet orange juice seems to modulate P-glycoprotein (P-gp), which might affect the blood levels of P-gp substrates.
Read the full Red Orange Complex H + Ivermectin interactionLevofloxacinLeva-pak, Levaquin, Levaquin Injection
How Levofloxacin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Levofloxacin interactionLevofloxacin (ophthalmic)Levofloxacin
How Levofloxacin (ophthalmic) interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Levofloxacin (ophthalmic) interactionLomefloxacinMaxaquin
How Lomefloxacin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Lomefloxacin interactionLovastatinAltocor, Mevacor
How Lovastatin interacts with Red Orange Complex 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Red Orange Complex HOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Red Orange Complex H + Lovastatin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Red Orange Complex 500 mg 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.
Red Orange Complex H
Celiprolol (Celicard)
Consuming sweet orange with celiprolol can decrease oral absorption of celiprolol.
A pharmacokinetic study in healthy volunteers shows that celiprolol levels, after a single dose of 100 mg, are decreased by up to 90% in people who drink sweet orange juice 200 mL three times daily. It's not known if lower consumption of sweet orange juice will have the same effect. Theoretically, this occurs due to short-term inhibition of organic anion transporting polypeptide (OATP). Recommend separating drug administration and consumption of sweet orange by at least 4 hours.
Ivermectin (Stromectol, Others)
Consuming sweet orange juice with ivermectin can decrease the oral absorption of ivermectin.
A pharmacokinetic study in healthy volunteers shows that taking ivermectin orally with sweet orange juice 750 mL over 4 hours reduces the bioavailability of ivermectin. This effect does not seem to be related to effects on P-glycoprotein. The effect on ivermectin is more pronounced in males compared to females.
Organic Anion-Transporting Polypeptide Substrates (Oatp)
Consuming sweet orange juice can decrease oral absorption of OATP substrates. Separate administration by at least 4 hours.
Clinical research shows that consuming sweet orange juice inhibits OATP, which reduces bioavailability of oral drugs that are substrates of OATP. For example, sweet orange juice decreases bioavailability of fexofenadine, a substrate of OATP, by about 72% and of celiprolol, another OATP substrate, by up to 90%. Since sweet orange juice seems to affect OATP for a short time, recommend separating drug administration and consumption of sweet orange juice by at least 4 hours.
Pravastatin (Pravachol)
Consuming sweet orange juice with pravastatin can increase the absorption of pravastatin.
A small pharmacokinetic study in healthy volunteers shows that consuming sweet orange juice 800 mL over 3 hours, including before, during, and after taking pravastatin 10 mg, increases pravastatin levels by about 149%, without affecting pravastatin elimination. Theoretically this effect might be due to modulation of organic anion transporting polypeptides (OATPs) by sweet orange juice. Sweet orange juice does not seem to affect simvastatin levels, but it is not known if sweet orange affects any of the other statins.
Fexofenadine (Allegra)
Consuming sweet orange juice with fexofenadine can decrease oral absorption of fexofenadine.
Clinical research shows that coadministration of sweet orange juice 1200 mL decreases bioavailability of fexofenadine by about 72%. In an animal model, sweet orange juice decreased bioavailability of fexofenadine by 31%. Fexofenadine manufacturer data indicates that concomitant administration of sweet orange juice and fexofenadine results in larger wheal and flare sizes in research models. This suggests that sweet orange reduces the clinical response to fexofenadine. Theoretically, this occurs due to short-term inhibition of organic anion transporting polypeptide (OATP). Recommend separating drug administration and consumption of sweet orange by at least 4 hours.
P-Glycoprotein Substrates
Sweet orange juice seems to modulate P-glycoprotein (P-gp), which might affect the blood levels of P-gp substrates.
Animal and in vitro research suggest that orange juice extract inhibits drug efflux by P-gp, increasing absorption and levels of P-gp substrates. In contrast, pharmacokinetic research in humans shows that drinking large amounts of sweet orange juice decreases absorption and levels of the P-gp substrate celiprolol. This suggests that orange juice actually induces drug efflux by P-gp or affects drug levels by another mechanism such as inhibiting the gut drug transporter called organic anion transporting polypeptide (OATP). Until more is known, sweet orange juice should be used cautiously in people taking P-gp substrates.
Quinolone Antibiotics
Calcium-fortified sweet orange juice might reduce quinolone absorption.
Calcium binds to quinolones in the gut. Theoretically, the calcium in certain fortified orange juices can also bind to quinolone antibiotics and reduce their absorption and levels.
Brand information
Manufacturer and brand details for Red Orange Complex 500 mg, from the product label.
Swanson Superior Herbs
See all Swanson Superior Herbs products- Name
- Swanson Health Products
- City
- Fargo
- State
- ND
- ZipCode
- 58104
- Phone Number
- 1-800-437-4148
- Web Address
- www.swansonvitamins.com
Red Orange Complex 500 mg by Swanson Superior Herbs: Common Questions
Does Red Orange Complex 500 mg by Swanson Superior Herbs interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this while I'm pregnant or breastfeeding?
Does red orange actually work for colds, anxiety, asthma, or the other conditions listed?
Is this product safe if I'm not on any medications?
What exactly is 'red orange complex'?
Can I just drink orange juice instead of taking this supplement?
What if I separate my doses from my medications by a few hours—will that fix the problem?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Red Orange Complex 500 mg 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 Red Orange Complex 500 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Red Orange Complex 500 mg's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 17 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Sweet Orange 17 references
- Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
- FDA, CFSAN. FDA-approved potassium health claim notification for potassium containing foods. 2000. Available at: www.cfsan.fda.gov/~dms/hclm-k.html.
- Kurowska EM, Spence JD, Jordan J, et al. HDL-cholesterol-raising effect of orange juice in subjects with hypercholesterolemia. Am J Clin Nutr 2000;72:1095-100. PubMed
- Murry JJ, Healy MD. Drug-mineral interactions: a new responsibility for the hospital dietician. J Am Diet Assoc 1991;91:66-73.
- Bailey DG, Dresser GK, Munoz C, et al. Reduction of fexofenadine bioavailability by fruit juices. Clin Pharmacol Ther 2001;69:P21.
- Pletz MW, Petzold P, Allen A, et al. Effect of calcium carbonate on bioavailability of orally administered gemifloxacin. Antimicrob Agents Chemother 2003;47:2158-60.. PubMed
- Lilja JJ, Juntti-Patinen L, Neuvonen PJ. Orange juice substantially reduces the bioavailability of the beta-adrenergic-blocking agent celiprolol. Clin Pharmacol Ther 2004;75:184-90.
- Tian R, Koyabu N, Takanaga H, et al. Effects of grapefruit juice and orange juice on the intestinal efflux of P-glycoprotein substrates. Pharm Res 2002;19:802-9. PubMed
- Vanapalli SR, Chen Y, Ellingrod VL, et al. Orange juice decreases the oral bioavailability of ivermectin in health volunteers. Clin Pharmacol Ther 2003;73 (Abstract PDII-A-10):P94.
- Huang SM, Lesko LJ. Drug-drug, drug-dietary supplement, and drug-citrus fruit and other food interactions: what have we learned? J Clin Pharmacol 2004;44:559-69. PubMed
- Koitabashi Y, Kumai T, Matsumoto N, et al. Orange juice increased the bioavailability of pravastatin, 3-hydroxy-3-methylglutaryl CoA reductase inhibitor, in rats and healthy human subjects. Life Sci 2006;78:2852-9. PubMed
- Takanaga H, Ohnishi A, Yamada S, et al. Polymethoxylated flavones in orange juice are inhibitors of P-glycoprotein but not cytochrome P450 3A4. J Pharmacol Exp Ther 2000;293:230-6. DOI
- Greenblatt DJ. Analysis of drug interactions involving fruit beverages and organic anion-transporting polypeptides. J Clin Pharmacol 2009;49:1403-7. PubMed
- Bailey DG. Fruit juice inhibition of uptake transport: a new type of food-drug interaction. Br J Clin Pharmacol 2010;70:645-55. PubMed
- Kamath AV, Yao M, Zhang Y, Chong S. Effect of fruit juices on the oral bioavailability of fexofenadine in rats. J Pharm Sci 2005;94:233-9. PubMed
- Kays MB, Overholser BR, Mueller BA, et al. Effects of sevelamer hydrochloride and calcium acetate on the oral bioavailability of ciprofloxacin. Am J Kidney Dis. 2003;42(6):1253-9. PubMed
- Neuhofel, A. L., Wilton, J. H., Victory, J. M., Hejmanowsk, L. G., and Amsden, G. W. Lack of bioequivalence of ciprofloxacin when administered with calcium-fortified orange juice: a new twist on an old interaction. J Clin Pharmacol. 2002;42(4):461-466. DOI
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC