Everolimus and Grapefruit interaction

Everolimus and Grapefruit: the Everolimus prescribing label flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Everolimus (Zortress) label · effective 2026-02-12

Major

Interaction With Grapefruit Juice Grapefruit and grapefruit juice inhibit cytochrome P450 3A4 and P-gp activity and should therefore be avoided with concomitant use of Zortress and cyclosporine or tacrolimus.

Warnings and precautionsnames GrapefruitView label on DailyMed

Curated guidance for Grapefruit

Moderate

Grapefruit juice raises blood levels of transplant anti-rejection medicines.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.