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Is EGCG Green Tea Safe with Imatinib (Gleevec)?

⛔ CRITICAL SEVERITY
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Imatinib (Gleevec) EGCG Green Tea
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Free · No account · based on published sources including NIH ODS, FDA drug labels, and peer-reviewed literature

WHAT YOU NEED TO KNOW

Do NOT take green tea extract supplements while on imatinib. Separate any dietary green tea consumption by at least 2 hours from imatinib dosing. Discuss with your oncologist before any change.

Why this interaction occurs

EGCG has been shown in vitro and in vivo to directly bind and precipitate imatinib at physiologic pH, significantly reducing drug bioavailability and compromising cancer treatment efficacy. This is a physicochemical interaction, not enzyme-mediated.

Evidence

Evidence level: strong.

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 45,497 reports mentioning Imatinib (Gleevec). This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Imatinib (Gleevec) + supplement combination on this page.

FAERS reports are voluntary and cannot prove that a drug caused an event. Do not use report counts to assess the safety of this specific drug-supplement pair.

Frequently asked questions

Can I take EGCG Green Tea with Imatinib (Gleevec)?
Avoid unless your doctor or pharmacist directs otherwise. Do NOT take green tea extract supplements while on imatinib. Separate any dietary green tea consumption by at least 2 hours from imatinib dosing. Discuss with your oncologist before any change.
How long should I wait between Imatinib (Gleevec) and EGCG Green Tea?
Do NOT take green tea extract supplements while on imatinib. Separate any dietary green tea consumption by at least 2 hours from imatinib dosing. Discuss with your oncologist before any change.
Does EGCG Green Tea affect how well Imatinib (Gleevec) works?
EGCG has been shown in vitro and in vivo to directly bind and precipitate imatinib at physiologic pH, significantly reducing drug bioavailability and compromising cancer treatment efficacy. This is a physicochemical interaction, not enzyme-mediated.

Related interactions

All EGCG Green Tea interactions →  ·  All Imatinib (Gleevec) interactions →

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Educational only — not medical advice.
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