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How Green Tea Interacts With Medicines

Green tea has been enjoyed by millions of people, over hundreds of years, in numerous countries with few to no side effects. Although it's normally safe to drink, it may cause problems for certain people. For example, the caffeine in green tea may cause irregular heartbeat in some people, worsen existing anxiety disorders, or increase the blood pressure in those who already have hypertension.

And like a surprising number of foods, green tea may interact with modern medicines in unpleasant ways. Look through the list below, which lists the drugs by generic name followed by a brand name in parentheses, to find possible interactions.

Possible Interactions Between Green Tea and Medications

(The information in this section was taken from The Essential Herb-Drug-Vitamin Interaction Guide by George Grossberg, M.D. and Barry Fox, Ph.D., Broadway Books, 2007. Click here to find this book on Amazon.com.)

abciximab (ReoPro) - may "thin" the blood and raise the danger of bruising or bleeding

acarbose (Precose) - may raise or lower the blood sugar

acetohexamide - may raise or lower the blood sugar

albuterol (Proventi) - may overstimulate the nervous system

alendronate (Fosamax) - may reduce medicine effectiveness

alteplase (Activase) - may "thin" the blood and raise the danger of bruising or bleeding

antithrombin III (Thrombate III) - may "thin" the blood and raise the danger of bruising or bleeding

argatroban - may "thin" the blood and raise the danger of bruising or bleeding

aspirin (Bufferin) - may "thin" the blood and raise the danger of bruising or bleeding

bivalirudin (Angiomax) - may "thin" the blood and raise the danger of bruising or bleeding

chlorpropamide (Diabinese) - may raise or lower the blood sugar

choline magnesium trisalicylate (Trilisate) - may "thin" the blood and raise the danger of bruising or bleeding

cimetidine (Tagamet) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

cinoxacin (Cinobac) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

ciprofloxacin (Cipro) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

clobenzorex (Asenlix) - may overstimulate the nervous system

clopidogrel (Plavix) - may "thin" the blood and raise the danger of bruising or bleeding

clozapine (Clozaril) - may cause increased psychotic symptoms

danaparoid (Orgaran) - may "thin" the blood and raise the danger of bruising or bleeding

diethylpropion (Tenuate) -  may overstimulate the nervous system

dipyridamole (Persantine) -may  interfere with the action of the medicine

disulfiram (Antabuse) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

drotrecogin alfa (Xigris) - may "thin" the blood and raise the danger of bruising or bleeding

enoxaparin (Lovenox) - may "thin" the blood and raise the danger of bruising or bleeding

ephedrine (Pretz-D) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects, and/or trigger a hypertensive crisis

epinephrine (EpiPen) - may overstimulate the nervous system

ergotamine (Cafergot) - may increase medicine absorption; lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

estrogens, conjugated/equine (Premarin) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

estrogens, esterified (Estratab) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

estrogens, conjugated A/synthetic (Cenestin) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

estrogens, esterified and methyltestosterone (Estratest) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

estrogens, conjugated/equine and medroxyprogesterone (Prempro) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

ethinyl estradiol and etonogestrel (NuvaRing) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

ethinyl estradiol and ethynodiol diacetate (Demulen) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

ethinyl estradiol and norgestimate (Ortho Tri-Cyclen) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

ethinyl estradiol and norelgestromin (Evra) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

ethinyl estradiol and norgestrel (Cryselle) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

ethinyl estradiol and desogestrel (Cyclessa) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

ethinyl estradiol and levonorgestrel (Alesse) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

ethinyl estradiol and norethindrone (Brevicon) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

etodolac (Lodine) - may "thin" the blood and raise the danger of bruising or bleeding

fenoprofen (Nalfon) - may "thin" the blood and raise the danger of bruising or bleeding

fenoterol (Berotec) - may overstimulate the nervous system

fluconazole (Diflucan) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

flurbiprofen (Ansaid) - may "thin" the blood and raise the danger of bruising or bleeding

fluvoxamine (Luvox) -  may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

fondaparinux (Arixtra) - may "thin" the blood and raise the danger of bruising or bleeding

gatifloxacin (Tequin) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

gemifloxacin (Factive) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

gliclazide (Diamicron) - may raise or lower the blood sugar

glimepiride (Amaryl) - may raise or lower the blood sugar

glipizide (Glucotrol) - may raise or lower the blood sugar

glipizide and metformin (Metaglip) - may raise or lower the blood sugar

gliquidone (Glurenorm) - may raise or lower your blood sugar

glyburide (DiaBeta) - may raise or lower your blood sugar

glyburide and metformin (Glucovance) - may raise or lower the blood sugar

heparin (Hepalean) - may "thin" the blood and raise the danger of bruising or bleeding

hydrocodone and aspirin (Damason-P) - may "thin" the blood and raise the danger of bruising or bleeding

hydrocodone and ibuprofen (Vicoprofen) - may "thin" the blood and raise the danger of bruising or bleeding

ibritumomab (Zevalin) - may "thin" the blood and raise the danger of bruising or bleeding

ibuprofen (Advil) - may "thin" the blood and raise the danger of bruising or bleeding

indobufen (Ibustrin) - may "thin" the blood and raise the danger of bruising or bleeding

indomethacin (Indocin) - may "thin" the blood and raise the danger of bruising or bleeding

insulin (Humulin) - may raise or lower the blood sugar

iproniazid (Marsilid) - may trigger a hypertensive crisis

ketorolac (Acular) - may "thin" the blood and raise the danger of bruising or bleeding

lepirudin (Refludan) - may "thin" the blood and raise the danger of bruising or bleeding

levofloxacin (Levaquin) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

lithium (Eskalith) - may cause medicine levels in the body to rise, heightening "lithium tremor," when high amounts of caffeine are taken over time and suddenly stopped.

lomefloxacin (Maxaquin) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

mestranol and norethindrone (Necon 1/50) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

metformin (Glucophage) - may raise or lower the blood sugar

mexiletine (Mextil) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

miglitol (Glyset) - may raise or lower the blood sugar

moclobemide - may trigger a hypertensive crisis

modafinil (Provigil) - may overstimulate the nervous system

moxifloxacin (Avelox) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

nabumetone (Relefan) - may "thin" the blood and raise the danger of bruising or bleeding

nadroparin (Fraxiparine) - may "thin" the blood and raise the danger of bruising or bleeding

nalidixic acid (NegGram) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

naproxen (Aleve) - may "thin" the blood and raise the danger of bruising or bleeding

nateglinide (Starlix) - may raise or lower the blood sugar

norfloxacin (Noroxin) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

ofloxacin (Floxin) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

oxaprozin (Daypro) - may "thin" the blood and raise the danger of bruising or bleeding

pefloxacin (Peflacine) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

phenelzine (Nardil) -  may trigger a hypertensive crisis

phentermine (Ionamin) - may overstimulate the nervous system

pioglitazone (Actos) - may raise or lower the blood sugar

piroxicam (Feldene) - may "thin" the blood and raise the danger of bruising or bleeding

pseudoephedrine (Sudafed) - may overstimulate the nervous system

repaglinide (GlucoNorm) - may raise or lower the blood sugar

riluzole (Rilutek) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects; increase risk of medicine side effects

rosiglitazone (Avandia) - may raise or lower the blood sugar

rosiglitazone and metformin (Avandamet) - may raise or lower the blood sugar

salsalate (Amgesic) - may "thin" the blood and raise the danger of bruising or bleeding

selegiline (Eldepryl) - may trigger a hypertensive crisis and/or increase risk of irregular heartbeat

sparfloxacin (Zagam) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

streptokinase (Streptase) - may "thin" the blood and raise the danger of bruising or bleeding

sulindac (Clinoril) - may "thin" the blood and raise the danger of bruising or bleeding

terbinafine (Lamisil) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

theophylline salts (Elixophyllin) - may increase toxic effects of the medicine and/or overstimulate the nervous system

tiaprofenic acid (Surgam) - may "thin" the blood and raise the danger of bruising or bleeding

ticlopidine (Ticlid) - may "thin" the blood and raise the danger of bruising or bleeding

tolazamide (Tolinase) - may raise or lower the blood sugar

tolbutamide (Tol-Tab) - may raise or lower the blood sugar

tolmetin (Tolectin) - may "thin" the blood and raise the danger of bruising or bleeding

tranylcypromine (Parnate) - may trigger a hypertensive crisis

trovafloxacin - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

valdecoxib (Bextra) - may "thin" the blood and raise the danger of bruising or bleeding

verapamil (Calan) - may lead to a build-up of caffeine in the body and an increased risk of caffeine side effects

warfarin (Coumadin) - may "thin" the blood and raise the danger of bruising or bleeding


If you're taking any kind of medicine (prescription or over-the-counter), supplements or herbs, or you're scheduled for any laboratory tests, be sure to ask your physician about possible interactions with green tea.


Nadine Taylor, M.S., R.D. presents GreenTeaLibrary.com, the most comprehensive collection of scientific information describing the many health benefits and properties of green tea.


 

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