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Is Grapefruit Juice Safe with fentanyl?

⚠️ HIGH SEVERITY
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fentanyl Grapefruit Juice
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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

Avoid consuming grapefruit juice while receiving fentanyl. Inform your healthcare provider if you regularly consume grapefruit or grapefruit juice.

Why this interaction occurs

Grapefruit juice is a CYP3A4 inhibitor. Concomitant use with fentanyl can increase fentanyl plasma concentrations, resulting in increased or prolonged opioid effects including potentially serious respiratory depression and sedation.

Evidence

Evidence level: strong.

Data source

FDA Drug Label

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 140,655 reports mentioning fentanyl. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the fentanyl + 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 Grapefruit Juice with fentanyl?
Avoid unless your doctor or pharmacist directs otherwise. Avoid consuming grapefruit juice while receiving fentanyl. Inform your healthcare provider if you regularly consume grapefruit or grapefruit juice.

Related interactions

All Grapefruit Juice interactions →  ·  All fentanyl interactions →

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Educational only — not medical advice.
Always confirm with your doctor or pharmacist.