TrueSlim Ingredients & Drug Interactions
by NatureCity
What is this page for?
First and foremost: checking TrueSlim 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
TrueSlim is a dietary supplement by NatureCity with 1 active ingredient. Its ingredients are commonly taken for vitamin c source, digestive upset, stress and relaxation (aromatherapy).Based on those ingredients, 246 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Morosil Sicilian Red Orange Fruit Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against TrueSlim by NatureCity
Ask about any prescription or over-the-counter medication and we check it for interactions with TrueSlim by NatureCity — 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 TrueSlim by NatureCity
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
TrueSlim contains one active ingredient: Morosil Sicilian Red Orange Fruit Extract. This is a concentrated form of red orange fruit, which contains compounds from sweet orange.
The capsule also holds inactive ingredients—hypromellose, rice flour, stearic acid, and rice hull concentrate—which are fillers and binders that help hold the supplement together.
Does it work?
Not established
The evidence supporting Morosil Sicilian Red Orange Fruit Extract is not established in the data we hold. The product facts list six health claims—pre-procedural anxiety, asthma, prostate cancer, common cold, constipation, and depression—but each is rated as having insufficient reliable evidence to rate.
In other words, we don't have enough rigorous research to say whether this extract actually works for any of these uses.
How safe is it?
Well-documented data
Sweet orange fruit and juice are safe as food for most people, but concentrated supplements and extracts like the one in this product haven't been studied as thoroughly, so use caution. The manufacturer notes that eating the fruit is fine, but concentrated forms lack solid safety data.
One reported side effect is intestinal colic (cramping in the belly) in children who ingested large amounts of sweet orange peel. The extract is rated likely safe in pregnancy and lactation based on the sweet orange fruit itself, though the concentrated form hasn't been well studied in these situations—talk to your doctor or pharmacist if you're pregnant or breastfeeding and considering this product.
Meds to double-check
Major interaction found
Before you take TrueSlim, double-check with your doctor or pharmacist if you're on pravastatin or any other statin (Major risk of increased drug levels). Also flag any OATP substrates, ivermectin, celiprolol, P-glycoprotein substrates, quinolone antibiotics, or fexofenadine—the extract can significantly change how your body handles these drugs.
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Major medication interactions have been identified, and safety information is well characterized.
TrueSlim's single ingredient is a concentrated red orange extract with a major interaction risk, especially with cholesterol and heart medications. If you take any prescription drugs—particularly statins, antibiotics, heart meds, or allergy treatments—check them against this product's interaction list before you start.
Talk with your doctor or pharmacist to make sure it's safe alongside your medications.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Mar 22, 2023.
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 TrueSlim, straight from the product label.
| Brand | NatureCity |
|---|---|
| Barcode (UPC) | 859003007345 |
| Net contents | 30 Veggie Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Mar 22, 2023 |
| DSLD ID | 283360 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten 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 TrueSlim by NatureCity, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Morosil Sicilian Red Orange Fruit Extract | 400 mg | -- |
Other ingredients: Hypromellose, Rice Flour, Stearic Acid, Rice hull concentrate
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions
Suggested Use: Take one (1) capsule a day. If taking two (2) capsules daily is desired or directed by your health care practitioner, take one (1) capsule in the morning and one (1) capsule in the evening.
Formula
TrueSlim helps support weight management goals when used in conjunction with appropriate diet and exercise regimens.
Morosil
Precautions
Keep out of reach of children.
Do not use if seal is broken or missing
Storage
Store in a cool dry place
Formulation
Soy Free Non GMO Gluten Free
Weight Management Support
Seals/Symbols
Blended & Packaged in the USA
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.
FDA Statement of Identity
Dietary Supplement
Brand IP Statement(s)
Morosil is a trademark of Bionap S.r.l
General Statements
To re-order call toll-free: 1-800-593-2563
BPA Free
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
TrueSlim by NatureCity 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 TrueSlim by NatureCity
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container30 Amounts shown are per serving.
Morosil Sicilian Red Orange Fruit Extract
Interacts with246 drugs
Sweet orange is a common citrus fruit that is a good source of vitamin C, fiber, and antioxidants, and is enjoyed as a food worldwide. Its peel and es...
Morosil Sicilian Red Orange Fruit Extract monograph & interactionsOther (inactive) ingredients: Hypromellose, Rice Flour, Stearic Acid, Rice hull concentrate. These complete the product’s ingredient list but are not active constituents.
TrueSlim by NatureCity Drug Interactions
HelloPharmacist Interaction Report
TrueSlim by NatureCity contains Morosil Sicilian Red Orange Fruit Extract, which interacts with a significant number of medications through its sweet orange content.
The most serious concern is a Major interaction with pravastatin (a cholesterol medication): consuming the extract with pravastatin can increase pravastatin levels in your blood by roughly 149%, which could raise your risk of side effects. The extract also causes Major interactions with three other drug types: it can decrease absorption of OATP substrates (requiring a 4-hour gap between doses), reduce ivermectin absorption, and decrease celiprolol levels by up to 90%.
Read the full breakdown — every affected drug type, severity by severity
Moderate interactions occur with P-glycoprotein substrates, where absorption may increase or decrease depending on the amount consumed; quinolone antibiotics, where calcium in fortified formulas can bind to the drug and lower its effectiveness; and fexofenadine (an allergy medication), where sweet orange juice cuts absorption by roughly 72%.
Altogether, these interactions span 246 individual medications. Before you start this product, run your exact prescription and over-the-counter medications through the interaction checker on this page—especially if you take a statin, antibiotic, heart medication, or antihistamine.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against TrueSlim?
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 TrueSlim interact with 246 drugs. Click any drug to see the details.
1 of the 1 ingredient in TrueSlim interact with drugs. Each result below shows which ingredient is responsible. Morosil Sicilian Red Orange Fruit Extract
MethotrexateOtrexup, Rasuvo, Reditrex, Rheumatrex
How Methotrexate interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Morosil Sicilian Red Orange Fruit Extract + Methotrexate interactionMethotrexate SodiumXatmep
How Methotrexate Sodium interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Morosil Sicilian Red Orange Fruit Extract + Methotrexate Sodium interactionMoxifloxacinAvelox
How Moxifloxacin interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Moxifloxacin interactionNalidixic AcidNegGram
How Nalidixic Acid interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Nalidixic Acid interactionNiacin, LovastatinAdvicor
How Niacin, Lovastatin interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Morosil Sicilian Red Orange Fruit Extract + Niacin, Lovastatin interactionNiacin, SimvastatinSimcor
How Niacin, Simvastatin interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Morosil Sicilian Red Orange Fruit Extract + Niacin, Simvastatin interactionNorfloxacinNorflox, Noroxin
How Norfloxacin interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Norfloxacin interactionOfloxacinFloxin, Floxin Injection, Floxin Otic, Oflox
How Ofloxacin interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Ofloxacin interactionPaclitaxelAbraxane, Taxol
How Paclitaxel interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), P-glycoprotein Substrates Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Morosil Sicilian Red Orange Fruit Extract + Paclitaxel interactionPravastatin SodiumPravachol
How Pravastatin Sodium interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Pravastatin (pravachol) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Morosil Sicilian Red Orange Fruit Extract + Pravastatin Sodium interactionRifampinRifadin, Rifadin Injection, Rimactane, Rofactor
How Rifampin interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Morosil Sicilian Red Orange Fruit Extract + Rifampin interactionSaquinavirFortovase, Invirase
How Saquinavir interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Saquinavir interactionSimvastatinZocor
How Simvastatin interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Morosil Sicilian Red Orange Fruit Extract + Simvastatin interactionSimvastatin, SitagliptinJuvisync
How Simvastatin, Sitagliptin interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Morosil Sicilian Red Orange Fruit Extract + Simvastatin, Sitagliptin interactionSparfloxacinZagam
How Sparfloxacin interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Sparfloxacin interactionTorsemideDemadex, Soaanz
How Torsemide interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Morosil Sicilian Red Orange Fruit Extract + Torsemide interactionTrovafloxacinTrovan, Trovan Injection
How Trovafloxacin interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Trovafloxacin interactionSimvastatin/ezetimibeVytorin
How Simvastatin/ezetimibe interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit ExtractOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming sweet orange juice can decrease oral absorption of OATP substrates.
Read the full Morosil Sicilian Red Orange Fruit Extract + Simvastatin/ezetimibe interactionAcalabrutinibCalquence
How Acalabrutinib interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Acalabrutinib interactionAfatinib DimaleateGilotrif
How Afatinib Dimaleate interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Afatinib Dimaleate interactionAlvimopanEntereg
How Alvimopan interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Alvimopan interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Ambrisentan interactionAmphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Amphotericin, Tetracycline interactionAmprenavirAgenerase
How Amprenavir interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Amprenavir interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionApixabanEliquis
How Apixaban interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Apixaban interactionApomorphineAPO-go, APO-go Pen, APO-go PFS, Apokyn, Uprima
How Apomorphine interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Apomorphine interactionApomorphine HydrochlorideKynmobi
How Apomorphine Hydrochloride interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Apomorphine Hydrochloride interactionArmodafinilNuvigil
How Armodafinil interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Armodafinil interactionAtogepantQulipta
How Atogepant interacts with TrueSlim — through 1 ingredient. Tap an ingredient for the detail:
Morosil Sicilian Red Orange Fruit 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 Morosil Sicilian Red Orange Fruit Extract + Atogepant interactionEach ingredient & the kinds of drugs it affects
For each ingredient in TrueSlim 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.
Morosil Sicilian Red Orange Fruit 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 TrueSlim, from the product label.
NatureCity
See all NatureCity products- Name
- NatureCity
- Street Address
- 990 S. Rogers Circle
- City
- Boca Raton
- State
- FL
- ZipCode
- 33487
- Phone Number
- 1-800-593-2563
- Web Address
- www.naturecity.com
TrueSlim by NatureCity: Common Questions
Does TrueSlim by NatureCity interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Does this actually work for any health condition?
Is this red orange extract safe?
Can I take this if I'm pregnant or breastfeeding?
What's in the capsule besides the active ingredient?
Will this interact with my cholesterol or heart medication?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if TrueSlim 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 TrueSlim’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
TrueSlim'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
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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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