Sytrinol 150 mg Ingredients & Drug Interactions
by Source Naturals
What is this page for?
First and foremost: checking Sytrinol 150 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
Sytrinol 150 mg is a dietary supplement by Source Naturals with 2 active ingredients. 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 Citrus sinensis L extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Sytrinol 150 mg by Source Naturals
Ask about any prescription or over-the-counter medication and we check it for interactions with Sytrinol 150 mg by Source Naturals — 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 Sytrinol 150 mg by Source Naturals
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
Low disclosure
Sytrinol 150 mg is a 2-ingredient softgel. The active ingredient is Sytrinol itself, which is a blend — the label lists its component parts separately.
The second active is sweet orange extract (Citrus sinensis L), which comes from the fruit. The softgel is made from gelatin, olive oil, glycerin, and other inactive ingredients like beeswax and natural orange flavor.
We hold no interaction data on the palm extract (elaeis guineensis), so we can't say what role it plays or how it might affect your medications.
Does it work?
Not established
The evidence on Sytrinol for its advertised uses — anxiety before procedures, asthma, prostate cancer, common cold, constipation, and depression — is not established in the data we hold. All six indications are rated as having insufficient reliable evidence.
How safe is it?
Well-documented data
Sweet orange fruit and juice are safe as food for most people, but concentrated extracts like the one in this supplement haven't been well studied, so we'd suggest using caution. In pregnancy and lactation, the safety data we have rates it as likely safe.
Very large amounts of orange peel have been linked to intestinal cramping in children, though that's not typically a concern with a supplement dose.
Meds to double-check
Major interaction found
Before taking Sytrinol, check with us if you're on OATP substrates, pravastatin, ivermectin, or celiprolol — all carry Major-severity interactions with the sweet orange extract. Also double-check P-glycoprotein substrates, fexofenadine, and quinolone antibiotics, which have Moderate interactions documented.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no established evidence rating for its marketed use. Major medication interactions have been identified, and safety information is well characterized.
This product may appeal to someone looking for a citrus-based supplement, but the sweet orange extract carries major interactions with several important drug classes. If you take cholesterol or blood pressure medication, antihistamines, antibiotics, or any OATP-substrate drug, talk to your pharmacist before adding this to your routine.
The effectiveness for any of its marketed uses isn't established yet.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 20, 2017.
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 Sytrinol 150 mg, straight from the product label.
| Brand | Source Naturals |
|---|---|
| Barcode (UPC) | 021078018438 |
| Net contents | 30 Softgel(s) |
| Market status | On market |
| Date entered into DSLD | Nov 20, 2017 |
| DSLD ID | 80951 |
| Product type | Botanical |
| Supplement form | Softgel Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Sytrinol 150 mg by Source Naturals, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Sytrinol | 150 mg | -- |
| Citrus sinensis L extract | 0 NP | -- |
| Elaeis guineensis extract | 0 NP | -- |
Other ingredients: extra virgin Olive Oil, Gelatin, Glycerin, purified Water, natural Orange flavor, Lecithin, yellow Beeswax, Titanium Dioxide, Chlorophylline, Riboflavin based colorant
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.
General Statements
Supports normal cholesterol levels
Contrary to popular belief, the amount of cholesterol produced by the liver is much more significant to total cholesterol levels than cholesterol consumed from dietary sources.
FDA Statement of Identity
Dietary Supplement
Brand IP Statement(s)
Source Naturals introduces the science of patented Sytrinol, part of the Cholesterol Rescue family of products.
Sytrinol may help to maintain cholesterol levels that are already within the normal range.
Preliminary clinical research shows that Sytrinol may assist in maintaining a balanced production of cholesterol by the liver.
Sytrinol Healthy heart is a patented and registered trademark of InterHealth N.I. Sytinol branded blend of citrus and palm fruit extracts.
Suggested/Recommended/Usage/Directions
Support your cholesterol wellness with Source Naturals Sytrinol today.
Suggested Use: 1 softgel twice daily.
Precautions
Warning: Do not use if you are pregnant, may become pregnant, or breastfeeding. If you are taking any prescription medication or receiving medical treatment, consult your physician before using this product.
Do not use if either tamper-evident seal is broken or missing.
Keep out of the reach of children.
Contains soy.
Storage
Store in a cool, dry place.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
General
SN1843 REV J155
Formula
Contains soy.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Sytrinol 150 mg by Source Naturals 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 Sytrinol 150 mg by Source Naturals
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Softgel(s) Dosage formSoftgel Capsule 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.
Sytrinol
- › Citrus sinensis L extract
- › Elaeis guineensis extract
Other (inactive) ingredients: Extra virgin Olive Oil, Gelatin, Glycerin, Purified Water, Natural Orange flavor, Lecithin, Yellow Beeswax, Titanium Dioxide, Chlorophylline, Riboflavin based colorant. These complete the product’s ingredient list but are not active constituents.
Sytrinol 150 mg by Source Naturals Drug Interactions
HelloPharmacist Interaction Report
Sytrinol by Source Naturals contains sweet orange extract, which interacts with a number of medications — some seriously.
The biggest concern is with a group of drugs called OATP substrates (organic anion-transporting polypeptide substrates); sweet orange can block their absorption in the gut, and you'll need to separate doses by at least 4 hours. The same goes for ivermectin (an antiparasitic), where orange extract reduces how much of the drug your body actually absorbs.
Read the full breakdown — every affected drug type, severity by severity
There are also Major-severity interactions with pravastatin (a cholesterol drug) — here the effect is opposite, increasing pravastatin levels in your blood by about 149% — and with celiprolol (a beta-blocker), where orange extract can slash absorption by up to 90%. Moderate interactions are documented with P-glycoprotein substrates (a large drug-transport system), fexofenadine (an antihistamine), and quinolone antibiotics; calcium-fortified orange juice can bind to quinolones and reduce their absorption.
We could not check one ingredient — elaeis guineensis (palm) extract — so its interaction profile is unknown. Altogether, these interactions span 240 individual medications.
Before you start Sytrinol, run your exact prescriptions through the interaction checker on this page.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Sytrinol 150 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 Sytrinol 150 mg interact with 246 drugs. Click any drug to see the details.
1 of the 2 ingredients in Sytrinol 150 mg interact with drugs. Each result below shows which ingredient is responsible. Citrus sinensis L extract
AtorvastatinAtorvaliq
How Atorvastatin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Atorvastatin Calcium interactionBosentanTracleer
How Bosentan interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Bosentan interactionBrincidofovirTembexa
How Brincidofovir interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Brincidofovir interactionCeliprololCelicard
How Celiprolol interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractCeliprolol (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 Citrus Sinensis L Extract + Celiprolol interactionCerivastatin SodiumBaycol
How Cerivastatin Sodium interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Cerivastatin Sodium interactionCinoxacinCinobac
How Cinoxacin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Cinoxacin interactionCiprofloxacinCiloxan, Cipro, Cipro IV, Cipro XR, Ciprobay, Otiprio
How Ciprofloxacin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractQuinolone Antibiotics, Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Calcium-fortified sweet orange juice might reduce quinolone absorption.
Read the full Citrus Sinensis L Extract + Ciprofloxacin interactionCiprofloxacin, HydrocortisoneCipro HC Otic
How Ciprofloxacin, Hydrocortisone interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Ciprofloxacin, Hydrocortisone interactionClinafloxacinClinafloxacin
How Clinafloxacin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Clinafloxacin interactionEnoxacinPenetrex
How Enoxacin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Enoxacin interactionEtoposideEtopophos, VePesid, VP16
How Etoposide interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractP-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 Citrus Sinensis L Extract + Etoposide interactionEzetimibe, AtorvastatinLiptruzet
How Ezetimibe, Atorvastatin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Ezetimibe, Atorvastatin interactionFexofenadineAllegra
How Fexofenadine interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractP-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 Citrus Sinensis L Extract + Fexofenadine interactionFexofenadine, PseudoephedrineAllegra D
How Fexofenadine, Pseudoephedrine interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractFexofenadine (allegra), P-glycoprotein Substrates +1 Major
Interaction Summary
Consuming sweet orange juice with fexofenadine can decrease oral absorption of fexofenadine.
Read the full Citrus Sinensis L Extract + Fexofenadine, Pseudoephedrine interactionFluvastatinLescol, Lescol XL
How Fluvastatin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Fluvastatin interactionGatifloxacinTequin, Tequin Injection
How Gatifloxacin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Gatifloxacin interactionGemifloxacinFactive
How Gemifloxacin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Gemifloxacin interactionGlyburideAlbert Glyburide, Diabeta, Glycron, Glynase, Glynase PresTab, Micronase +1 more
How Glyburide interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Glyburide interactionGlyburide, MetforminGlucovance
How Glyburide, Metformin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Glyburide, Metformin interactionGrepafloxacinRaxar
How Grepafloxacin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Grepafloxacin interactionIrinotecanCamptosar, Onivyde
How Irinotecan interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Irinotecan interactionIrinotecan Hydrochloride
How Irinotecan Hydrochloride interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Irinotecan Hydrochloride interactionIsoniazid, Pyrazinamide, RifampinRifater
How Isoniazid, Pyrazinamide, Rifampin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Isoniazid, Pyrazinamide, Rifampin interactionIsoniazid, RifampinRifamate
How Isoniazid, Rifampin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Isoniazid, Rifampin interactionIvermectinMectizan, Sklice, Soolantra, Stromectol
How Ivermectin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractP-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 Citrus Sinensis L Extract + Ivermectin interactionLevofloxacinLeva-pak, Levaquin, Levaquin Injection
How Levofloxacin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Levofloxacin interactionLevofloxacin (ophthalmic)Levofloxacin
How Levofloxacin (ophthalmic) interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Levofloxacin (ophthalmic) interactionLomefloxacinMaxaquin
How Lomefloxacin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Quinolone Antibiotics Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Lomefloxacin interactionLovastatinAltocor, Mevacor
How Lovastatin interacts with Sytrinol 150 mg — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Citrus Sinensis L Extract + Lovastatin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Sytrinol 150 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.
Citrus sinensis L extract
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 Sytrinol 150 mg, from the product label.
Source Naturals
- Name
- Source Naturals, Inc.
- Street Address
- P. O. Box 2118
- City
- Santa Cruz
- State
- CA
- ZipCode
- 95062
- Web Address
- www.sourcenaturals.com
Sytrinol 150 mg by Source Naturals: Common Questions
Does Sytrinol 150 mg by Source Naturals 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 pregnant or breastfeeding?
Will sweet orange extract affect how my medications work?
Are there any side effects from the sweet orange extract?
Does Sytrinol actually work for anxiety, asthma, or the other conditions listed?
Why does the ingredient list show Sytrinol but then other things too?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Sytrinol 150 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 Sytrinol 150 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Sytrinol 150 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
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DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
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