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Drug interactions

Grapefruit + Medroxyprogesterone

Severity: Minor

Grapefruit and Medroxyprogesterone: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Grapefruit juice may increase oral medroxyprogesterone exposure by inhibiting intestinal CYP3A4. The clinical effect is probably small.

What this interaction means in plain words

Grapefruit and Medroxyprogesterone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Grapefruit components inhibit intestinal CYP3A4, reducing first-pass metabolism.

What to do

Avoid regular large amounts of grapefruit juice with oral medroxyprogesterone, and monitor for progestogenic adverse effects.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Grapefruit with Medroxyprogesterone?

MediHelp rates the interaction as minor. Grapefruit and Medroxyprogesterone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Grapefruit juice may increase oral medroxyprogesterone exposure by inhibiting intestinal CYP3A4. The clinical effect is probably small.

How serious is the interaction between Grapefruit and Medroxyprogesterone?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid regular large amounts of grapefruit juice with oral medroxyprogesterone, and monitor for progestogenic adverse effects.

What other medicines interact with Medroxyprogesterone?

MediHelp also lists interactions of Medroxyprogesterone with, for example, Bosentan, Brigatinib, Eslicarbazepine. The full list is on the Medroxyprogesterone page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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