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 is a blend of two active ingredients: Sytrinol itself (a proprietary combination) and citrus sinensis L extract, which comes from sweet orange. The product is delivered in a softgel capsule along with inactive ingredients including extra virgin olive oil, gelatin, glycerin, purified water, annatto extract, natural orange flavor, soy lecithin, and yellow beeswax.
Does it work?
Not established
The evidence for sweet orange extract in this product isn't established in the data we hold. The supplement has been studied for pre-procedural anxiety, asthma, prostate cancer, common cold, constipation, and depression, but none of these has sufficient reliable evidence to rate whether it actually works.
How safe is it?
Well-documented data
Sweet orange fruit and juice are generally well tolerated as food for most people. However, concentrated supplements and extracts haven't been studied as thoroughly as whole fruit, so use caution with this product.
There have been reports of intestinal cramping in children after consuming large amounts of sweet orange peel. For pregnancy and breastfeeding, the safety data rates sweet orange as likely safe, but talk with your doctor or pharmacist about whether this particular product is right for you during those times.
Meds to double-check
Major interaction found
Before taking Sytrinol, double-check with your doctor or pharmacist if you take pravastatin (a Major interaction — levels can nearly double), ivermectin, celiprolol, or any OATP substrates (all Major). Also flag any P-glycoprotein substrates, fexofenadine (allergy medicine), or quinolone antibiotics (Moderate severity).
Sweet orange can significantly reduce how well some of these work, or raise the level of others to unsafe amounts.
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's sweet orange extract can significantly alter how your body absorbs or processes many prescription medications — including cholesterol drugs, blood pressure medicines, allergy treatments, and antibiotics. If you take any regular medications, check them against the interaction tool on this page before starting.
Talk with your doctor or pharmacist about whether this product makes sense for you, especially if you're on pravastatin or any of the other medications mentioned.
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 Dec 23, 2015.
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) | 033674155714 |
| Net contents | 120 Softgel(s) |
| Market status | On market |
| Date entered into DSLD | Dec 23, 2015 |
| DSLD ID | 54775 |
| Product type | Botanical |
| Supplement form | Softgel Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), 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 | -- |
| Citrus sinensis L extract | 0 NP | -- |
| Elaeis guineensis extract | 0 NP | -- |
Other ingredients: extra virgin Olive Oil, Gelatin, Glycerin, purified Water, Annatto extract, natural Orange 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.
General Statements
Patented Complex
Cholesterol Control
What is Cholesterol? Cholesterol is a waxy, fat-like substance needed for certain body functions. ~ Did you know? The liver produces up to 75% of the body’s cholesterol. Food in the daily diet is another source of cholesterol. Healthy Cholesterol Levels Total cholesterol levels in the blood should be less than 200 mg/dL. The two primary types of cholesterol are: 1) HDL cholesterol, which is “good” because it helps remove cholesterol from the blood. Levels above 40 mg/dL are healthy. 2) LDL cholesterol, which is “bad”. Levels below 100 mg/dL are optimal for cardiovascular health.
Cholesterol Control Helps maintain healthy levels already within the normal range
Recommendation: Take 1 softgel twice daily, or as recommended by a healthcare professional.
Formula
Sytrinol is a unique blend of bioflavonoids (polymethoxylated flavones) and tocotrienols extracted from citrus and palm fruits.
Contains soy.
Brand IP Statement(s)
Sytrinol supports healthy cholesterol levels already within the normal range.*
Sytrinol is a registered trademark of InterHealth N.I. Sytrinol branded blend of citrus and palm fruit extracts (U.S. Patens 6,987,125 and 7,683,095).
2015
FDA Disclaimer Statement
This statement has not been evaluated by the Food & Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
Seals/Symbols
Sytrinol Healthy Heart
FDA Statement of Identity
Dietary Supplement
General
LBN15571.A02 B712060A C8087
Precautions
Caution: 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 outer shrinkwrap and inner seal. Do not use if either is broken or missing.
Formulation
Gluten free. No yeast, milk, lactose, wheat, sugar, corn, artificial flavors or preservatives.
Storage
Store in a cool, dry place. Keep bottle tightly closed.
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 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, Annatto extract, Natural Orange 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 number of medications — most notably blood pressure and heart drugs, cholesterol medications, antiparasitic drugs, and allergy medicines.
The most serious interaction is with pravastatin (a cholesterol medication): sweet orange can nearly double pravastatin levels in your blood, which raises the risk of muscle damage and other side effects.
Read the full breakdown — every affected drug type, severity by severity
Sweet orange extract can also significantly reduce how your body absorbs several other drugs. It can cut the effectiveness of ivermectin (an antiparasitic), celiprolol (a beta-blocker for blood pressure and heart rhythm), and fexofenadine (an allergy medicine) — sometimes by as much as 70–90%.
It may also interfere with a broad class of drugs called P-glycoprotein substrates, and calcium-fortified orange products could reduce how well quinolone antibiotics (a type of infection fighter) work. Additionally, sweet orange can block absorption of OATP substrates, a large group of medications; separating the dose by at least 4 hours may help.
We could not check Elaeis guineensis extract (a palm oil derivative) — no interaction data is on file for it.
Always run your exact medications through the checker below before starting this supplement. Altogether, these interactions span 246 individual 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
AtorvastatinAtorvaliq
How Atorvastatin interacts with Sytrinol — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 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.
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?
Can I take Sytrinol while I'm pregnant or breastfeeding?
What does Sytrinol actually do?
Are there any side effects I should know about?
Why does sweet orange interact with so many medications?
What's Sytrinol and what does it do in this product?
Is there anything else in this product I should know 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
- 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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