Sytrinol Ingredients & Drug Interactions
by Nature's Way
What is this page for?
First and foremost: checking Sytrinol 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 is a dietary supplement by Nature's Way 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 by Nature's Way
Ask about any prescription or over-the-counter medication and we check it for interactions with Sytrinol by Nature's Way — 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 by Nature's Way
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 contains 2 active ingredients: a proprietary blend called Sytrinol itself (which combines palm fruit extract and citrus bioflavonoids) and sweet orange extract. The product also contains several inactive ingredients — extra virgin olive oil, gelatin, glycerin, purified water, annatto extract for color, natural flavor, soy lecithin, and yellow beeswax — that help form and flavor the softgel capsule.
Does it work?
Not established
The evidence we hold does not establish effectiveness for the conditions listed — pre-procedural anxiety, asthma, prostate cancer, common cold, constipation, and depression all carry a rating of insufficient reliable evidence. That means the science isn't clear enough yet to say whether this product works for any of those uses.
If you're considering Sytrinol for a specific health goal, talk it over with your doctor to see what the current research supports.
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 product haven't been studied as thoroughly, so use some caution. There have been reports of intestinal cramping in children who ingested large amounts of sweet orange peel, though this product is a concentrated extract rather than whole peel.
For pregnancy and breastfeeding, sweet orange extract is rated likely safe based on the fruit's long food history, but because this is a concentrated supplement form, check with your doctor or pharmacist before taking it if you're pregnant or nursing.
Meds to double-check
Major interaction found
Before taking Sytrinol, ask your doctor or pharmacist whether you take any OATP substrates, pravastatin, ivermectin, celiprolol, P-glycoprotein substrates, quinolone antibiotics, or fexofenadine. The sweet orange in this product has Major-severity interactions with the first four categories and Moderate-severity interactions with the last three.
If you do take any of these, you'll need to time the product carefully or may need to skip it altogether.
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.
Sytrinol is worth considering only if you've checked your medications against the 246 that interact with its sweet orange extract — especially if you take a statin, antihistamine, antibiotic, or anti-parasitic drug. The evidence for what it's supposed to do isn't established in the data we hold.
Talk with your doctor or pharmacist before you start it to make sure it won't interfere with your current medications and to confirm it's right for your situation.
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 Jul 27, 2021.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Sytrinol, straight from the product label.
| Brand | Nature's Way |
|---|---|
| Barcode (UPC) | 033674155707 |
| Net contents | 60 Softgel(s) |
| Market status | On market |
| Date entered into DSLD | Jul 27, 2021 |
| DSLD ID | 251856 |
| Product type | Botanical |
| Supplement form | Softgel Capsule |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Women (not pregnant or lactating), Gluten Free, Dairy Free, Sugar Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Sytrinol by Nature's Way, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Sytrinol | 150 mg | -- |
| Elaeis guineensis extract | 0 NP | -- |
| Citrus sinensis L. extract | 0 NP | -- |
Other ingredients: extra virgin Olive Oil, Gelatin, Glycerin, purified Water, Annatto extract, Natural flavor, Soy Lecithin, yellow Beeswax
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formulation
Cholesterol control - Helps maintain levels already within the normal range.
What are healthy cholesterol levels? Total cholesterol levels in the blood should be less than 200 mg/dL. The two primary types of cholesterol are: HDL cholesterol, which is "good" because it helps remove cholesterol from the blood. Levels above 40 mg/dL are healthy. LDL cholesterol, which is "bad". Levels below 100 mg/dL are optimal for cardiovascular health.
Gluten free. No sugar, salt, yeast, wheat, lactose, corn, dairy products, or artificial flavors, or preservatives.
Formula
Sytrinol is a proprietary blend of bioflavonoids and tocotrienols extracted from citrus and palm fruits, designed to support healthy cholesterol levels already within the normal range.
FDA Disclaimer Statement
These statements have not been evaluated by the Food & Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
General Statements
Nature's Way - Since 1969
Bottles made from 97% post-consumer recycled plastic
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Recommendation: Take 1 softgel twice daily, or as recommended by a healthcare professional.
Precautions
Warning: Do not use this product if you are pregnant, nursing, or trying to conceive. If you are taking any medications, consult a healthcare professional before use.
Contains soy.
Keep out of reach of children.
Safety sealed with printed inner seal. Do not use if seal is broken or missing.
Brand IP Statement(s)
Copyright 2019 Distributed by Nature's Way Brands, LLC Sytrinol & logo are trademarks of Lonza or its affiliates. Sytrinol branded blend of citrus and palm fruit extracts. Sytrinol - Healthy Heart
Seals/Symbols
Quality Global Sourcing - Bottled & Tested in the USA
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Sytrinol by Nature's Way 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 by Nature's Way
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 Servings per container60 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Sytrinol
- › Elaeis guineensis extract
- › Citrus sinensis L. extract
Other (inactive) ingredients: Extra virgin Olive Oil, Gelatin, Glycerin, Purified Water, Annatto extract, Natural flavor, Soy Lecithin, Yellow Beeswax. These complete the product’s ingredient list but are not active constituents.
Sytrinol by Nature's Way Drug Interactions
HelloPharmacist Interaction Report
Sytrinol by Nature's Way contains sweet orange extract, which interacts with a significant number of medications.
The most serious interactions are Major-severity effects on OATP substrates (a category of drugs that need to be separated from this product by at least 4 hours), pravastatin, ivermectin, and celiprolol — all of which can have their absorption seriously altered. Altogether, these interactions span 246 individual medications.
Read the full breakdown — every affected drug type, severity by severity
Sweet orange also has Moderate-severity interactions with P-glycoprotein substrates (which transport drugs in and out of cells), quinolone antibiotics, and fexofenadine. The product contains one other ingredient, Elaeis guineensis extract (from palm oil), which we could not check for interactions.
If you take any prescription or over-the-counter medication, run it through the checker below before starting this product. The timing matters: with OATP substrates, you'll need to space them apart.
Your doctor or pharmacist can tell you whether Sytrinol is a fit for your specific medications.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Sytrinol?
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 interact with 246 drugs. Click any drug to see the details.
1 of the 2 ingredients in Sytrinol interact with drugs. Each result below shows which ingredient is responsible. Citrus sinensis L. extract
AcalabrutinibCalquence
How Acalabrutinib interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Acalabrutinib interactionAfatinib DimaleateGilotrif
How Afatinib Dimaleate interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Afatinib Dimaleate interactionAlvimopanEntereg
How Alvimopan interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Alvimopan interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Ambrisentan interactionAmphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Amphotericin, Tetracycline interactionAmprenavirAgenerase
How Amprenavir interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Amprenavir interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionApixabanEliquis
How Apixaban interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Apixaban interactionApomorphineAPO-go, APO-go Pen, APO-go PFS, Apokyn, Uprima
How Apomorphine interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Apomorphine interactionApomorphine HydrochlorideKynmobi
How Apomorphine Hydrochloride interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Apomorphine Hydrochloride interactionArmodafinilNuvigil
How Armodafinil interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Armodafinil interactionAtogepantQulipta
How Atogepant interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Atogepant interactionAtropine, Morphine SulfateAtropine, Morphine Sulfate
How Atropine, Morphine Sulfate interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Atropine, Morphine Sulfate interactionAvatrombopag MaleateDoptelet
How Avatrombopag Maleate interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Avatrombopag Maleate interactionBazedoxifene Acetate, Conjugated EstrogensDuavee
How Bazedoxifene Acetate, Conjugated Estrogens interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Bazedoxifene Acetate, Conjugated Estrogens interactionBeclometasone DipropionateBecotide
How Beclometasone Dipropionate interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Beclometasone Dipropionate interactionBeclomethasoneBeclovent, Vanceril
How Beclomethasone interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Beclomethasone interactionBeclomethasone DipropionateQNASL, Qvar
How Beclomethasone Dipropionate interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Beclomethasone Dipropionate interactionBelinostatBeleodaq
How Belinostat interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Belinostat interactionBerotralstat HydrochlorideOrladeyo
How Berotralstat Hydrochloride interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Berotralstat Hydrochloride interactionBetamethasoneCelestone, Diprolene AF, Diprosone
How Betamethasone interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Betamethasone interactionBetamethasone DipropionateSernivo
How Betamethasone Dipropionate interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Betamethasone Dipropionate interactionBetamethasone Dipropionate, CalcipotrieneEnstilar, Wynzora
How Betamethasone Dipropionate, Calcipotriene interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Betamethasone Dipropionate, Calcipotriene interactionBetamethasone ValerateLuxiq
How Betamethasone Valerate interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Betamethasone Valerate interactionBetrixabanBevyxxa
How Betrixaban interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Betrixaban interactionBictegravir, Emtricitabine, Tenofovir AlafenamideBiktarvy
How Bictegravir, Emtricitabine, Tenofovir Alafenamide interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Bictegravir, Emtricitabine, Tenofovir Alafenamide interactionBoceprevirVictrelis
How Boceprevir interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Boceprevir interactionChlortetracyclineAureomycin
How Chlortetracycline interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Chlortetracycline interactionCimetidineCimetidine Injection, Tagamet, Tagamet HB
How Cimetidine interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Cimetidine interactionCisapridePropulsid
How Cisapride interacts with Sytrinol — through 1 ingredient. Tap an ingredient for the detail:
Citrus Sinensis L. ExtractP-glycoprotein Substrates Moderate
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 + Cisapride interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Sytrinol 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, from the product label.
Nature's Way
See all Nature's Way products- Name
- Nature's Way Brands, LLC
- City
- Green Bay
- State
- WI
- ZipCode
- 54311
- Phone Number
- 1-800-962-8873
- Web Address
- naturesway.com
Sytrinol by Nature's Way: Common Questions
Does Sytrinol by Nature's Way interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is Sytrinol safe during pregnancy or breastfeeding?
Does this product have fillers or other inactive ingredients?
What does sweet orange extract actually do?
Can I space out my medications to avoid the interaction with sweet orange?
Is there an ingredient in this product I should be concerned about?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Sytrinol 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’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Sytrinol'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
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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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