Grapefruit and Serious Drug Interactions
ccording to Dr. J. David Spence, a
professor of neurology, internal medicine and pharmacology at
the University of Western Ontario, there are some possibly
deadly interactions between Grapefruit and
common prescription medications.
Writing in a recent article
(Clinical Pharmacology and Therapeutics
; Vol. 61, No. 4), Dr. Spence informs us that there can be serious,
if not deadly consequences, in mixing the popular citrus fruit
with common prescription medications.
A chilling case is cited in which a 29 year old man, whom
had been taking the prescription medication Seldane,
twice a day, for over a year, drank two glasses of Grapefruit Juice
and went out to mow the lawn. He suddenly became ill, stumbled into
his home and collapsed. The coroner found that the man had died of terfenadine
toxicity. What is now known, is that the flavonoids in grapefruit modifies the
metabolism of many medications.
Some of these medications adversely effected by grapefruit interactions are:
Heart or Blood Pressure Medications:
- Plendil
- Procardia
- Sular
- Other, un-named Blood Pressure Medications
It was found that the mixing of grapefruit juice,
and these medications, caused the body
to react as if
two, three or even seven times the recommended dose had been ingested.
Cholesterol Lowering Medications, These include:
- Zocar
- Mevacor
- Pravachol
- Other Cholesterol Lowering Medications
Other Medications mentioned as being adversely effected by Grapefruit:
- Estrogen (female hormone)
- Coumadin (blood thinner)
- Caffeine (as in Coffee)
- Cyclosporine (transplant drug)
- Tofranil (an antidepressant)
The effects of drinking the grapefruit juice is accumulative, so, if you drank
a glass of the juice daily, for a week,
the drug interaction would be stronger.
The Source for this article is the newspaper column "People's Pharmacy" as published in
The El Paso Times. (1 September 1997, page 3D)
It recommends getting a copy of the book:
Deadly Drug Interactions
by Joe and Dr. Teresa Graedon
St. Martin's Press, 1997

Deadly Drug Interactions on Amazon.com
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c. 1998 Ashlynn Ward.