Grapefruit and Verapamil interaction

Grapefruit and Verapamil: the Verapamil prescribing label describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Verapamil (Verapamil Hydrochloride) label · effective 2025-03-25

Moderate

Grapefruit juice may significantly increase verapamil levels ( 7.3 )

Drug interactionsnames GrapefruitView label on DailyMed
Moderate

Grapefruit Juice Grapefruit juice may significantly increase concentrations of verapamil.

Drug interactionsnames GrapefruitView label on DailyMed
Moderate

Grapefruit juice given to nine healthy volunteers increased S- and R- verapamil AUC 0-12 by 36% and 28%, respectively.

Drug interactionsnames GrapefruitView label on DailyMed
Moderate

Steady state C max and C min of S-verapamil increased by 57% and 16.7%, respectively with grapefruit juice compared to control.

Drug interactionsnames GrapefruitView label on DailyMed
Minor

Grapefruit juice did not cause a significant difference in the pharmacokinetics of norverapamil.

Drug interactionsnames GrapefruitView label on DailyMed

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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.